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NPI Code Detail

MEDICARE: NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC

MEDICARE: NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649273996
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Provider Business Mailing Address
First Line : 16 COMMERCIAL ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-2801
Country : US
Telephone Number : 203-483-8488
Fax Number : 203-483-6085
Provider Business Practice Location Address
First Line : 469 WEST MAIN STREET
Second Line : SUTIE 101
City : BRANFORD
State : CT
Zip : 06405-3400
Country : US
Telephone Number : 203-488-8588
Fax Number : 203-488-0844
Authorized Official
Title or Position : CEO
Name : MR. DAVID MAHLER
Credential : CPO
Telephone Number : 203-483-8488
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/04/2017

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Directions to “NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC ” Practice Location

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