Healthcare Provider Details

I. General information

NPI: 1699441857
Provider Name (Legal Business Name): AFI ORTHOTICS & PROSTHETICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 NORTH FRONTAGE RD
EAST HAVEN CT
06512-2100
US

IV. Provider business mailing address

65 NORTH FRONTAGE RD
EAST HAVEN CT
06512-2100
US

V. Phone/Fax

Practice location:
  • Phone: 203-535-1986
  • Fax: 203-621-3134
Mailing address:
  • Phone: 860-833-8459
  • Fax: 203-621-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID BARTON MAHLER
Title or Position: OWNER
Credential: CPO
Phone: 860-833-8459