Provider Demographics
NPI:1902527781
Name:BIONIC SKINS LLC
Entity Type:Organization
Organization Name:BIONIC SKINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-932-7698
Mailing Address - Street 1:209 BURLINGTON RD STE 217
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1415
Mailing Address - Country:US
Mailing Address - Phone:617-932-7698
Mailing Address - Fax:
Practice Address - Street 1:209 BURLINGTON RD STE 217
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1415
Practice Address - Country:US
Practice Address - Phone:301-606-0443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier