Healthcare Provider Details

I. General information

NPI: 1710094552
Provider Name (Legal Business Name): AUSTIN MEDICAL PRODUCTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 EASTERN AVENUE
CENTER CONWAY NH
03813
US

IV. Provider business mailing address

PO BOX 1830
CONWAY NH
03818-1830
US

V. Phone/Fax

Practice location:
  • Phone: 603-356-7004
  • Fax:
Mailing address:
  • Phone: 603-356-7004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM C. BROWN
Title or Position: PRESIDENT
Credential:
Phone: 603-356-7004