Healthcare Provider Details
I. General information
NPI: 1306998042
Provider Name (Legal Business Name): ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7610 PENNSYLVANIA AVE SUITE 303
FORESTVILLE MD
20747-4701
US
IV. Provider business mailing address
300 MILL ST UNIT C
SALISBURY MD
21801-4242
US
V. Phone/Fax
- Phone: 410-546-5502
- Fax: 410-546-5545
- Phone: 410-546-5502
- Fax: 410-546-5545
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
ROTHSCHILD
Title or Position: VICE PRESIDENT
Credential:
Phone: 410-546-5502