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BOAS SURGICAL INC. NPI 1982606208


NPI Information

NPI: 1982606208
Provider Name: BOAS SURGICAL, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3050 HAMILTON BLVD STE 220
ALLENTOWN, PA
ZIP 18103
Phone: (610) 432-6736
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BOAS SURGICAL, INC. is a prosthetic orthotic supplier in Allentown, PA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. BOAS SURGICAL, INC. NPI is 1982606208. The provider is registered as an organization entity type.

The provider's business location address is:

3050 HAMILTON BLVD STE 220
ALLENTOWN, PA
ZIP 18103-691
Phone: (610) 432-6736
Fax: (610) 433-3848

The provider's authorized official is Grace Angeline .
The authorized official title is Reg Compliance Specialist Iii and has the following contact phone number (714) 961-2102.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 1/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic Supplier3000007439PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10009363070002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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