Provider Demographics
NPI:1861599086
Name:AMTOWER BIOKINETICS
Entity type:Organization
Organization Name:AMTOWER BIOKINETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:W
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-278-0101
Mailing Address - Street 1:588 PLEASANT ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4553
Mailing Address - Country:US
Mailing Address - Phone:781-278-0101
Mailing Address - Fax:781-278-0111
Practice Address - Street 1:588 PLEASANT ST
Practice Address - Street 2:SUITE 7
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4553
Practice Address - Country:US
Practice Address - Phone:781-278-0101
Practice Address - Fax:781-278-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA702233OtherHARVARD PILGRIM HEALTH
AL1524844Medicaid
MA393254OtherBLUE CROSS BLUE SHIELD
MA702233OtherHARVARD PILGRIM HEALTH