Paul R Clark

Customized Equipment



  
  1 Braintree St, Allston
Massachusetts, 02134-1602

 617-787-0504    781-356-2074
Paul R Clark is a Customized Equipment in Allston, Massachusetts. It is located at 1 Braintree St, Allston and it's customer support contact number is 617-787-0504. The authorized person of Paul R Clark is Mr. Paul R. Clark who is Orthotist of this DME and his contact number is 617-787-0504.
Paul R Clark is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.


DME Supplier Details:
Paul R Clark type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Paul R Clark
Type: Customized Equipment
Location:1 Braintree St, Allston,
Massachusetts, 02134-1602
Phone:617-787-0504
Fax:781-356-2074
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Mr. Paul R. Clark
Position: Orthotist
Contact Number: 617-787-0504
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1851577795
NPI Enumeration Date: 10 Jan, 2008
NPI Last Update On: 29 Oct, 2010

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul R Clark are as mentioned below.
SpecializationLicense NumberStateStatus
Customized Equipment Primary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
670375OtherMassachusettsTuft's Navigator
670375OtherMassachusettsTuft's Health Insurance
1537369MedicaidMassachusetts
375354OtherMassachusettsBlue Cross/blue Shield Of Massachusetts
670375OtherMassachusettsTuft's Total Health Plan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: P O Box 850164,
Braintree, Massachusetts
Zip: 02185
Phone Number: 617-787-0504
Patients can reach Paul R Clark at 1 Braintree St, Allston, Massachusetts or can call on customer care at 617-787-0504.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.