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NPI Code Detail

MEDICARE: NEW ENGLAND ORTHOTICS & PROSTHETICS SYSTEMS, LLC

MEDICARE: NEW ENGLAND ORTHOTICS & PROSTHETICS 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

General Provider Information

NPI Number : 1255772513
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ENGLAND ORTHOTICS & PROSTHETICS 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 : 59-05 69TH STREET
Second Line :
City : MASPETH
State : NY
Zip : 11378-2946
Country : US
Telephone Number : 718-639-6771
Fax Number : 718-639-2719
Authorized Official
Title or Position : CEO
Name : MR. DAVID MAHLER
Credential : CPO
Telephone Number : 203-483-8488
Provider Enumeration Date : 07/15/2013
Last Update Date : 09/13/2016

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Directions to “NEW ENGLAND ORTHOTICS & PROSTHETICS SYSTEMS, LLC ” Practice Location

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