MEDICARE: RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES, II, PC

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
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1386998797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES, II, PC

Provider Business Mailing Address
First Line	:	400 MAIN ST
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-3810
Country	:	US
Telephone Number	:	610-935-1120
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 MAIN ST
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-3810
Country	:	US
Telephone Number	:	610-935-1120
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL E. WEST
Credential	:
Telephone Number	:	267-339-3680

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	04/10/2013

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