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NPI Code Detail

MEDICARE: BENCHMARK ORTHOTICS & PROSTHETICS, INC.

MEDICARE: BENCHMARK ORTHOTICS & PROSTHETICS, INC.
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
1335E00000XProsthetic/Orthotic Supplier6000006781PA

General Provider Information

NPI Number : 1811962491
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCHMARK ORTHOTICS & PROSTHETICS, INC.
Provider Business Mailing Address
First Line : 180 FORT COUCH RD
Second Line : SUITE 400
City : BETHEL PARK
State : PA
Zip : 15241-1041
Country : US
Telephone Number : 412-831-4792
Fax Number : 412-687-1869
Provider Business Practice Location Address
First Line : 180 FORT COUCH RD
Second Line : SUITE 400
City : BETHEL PARK
State : PA
Zip : 15241-1041
Country : US
Telephone Number : 412-831-4792
Fax Number : 412-687-1869
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. DENNIS J FITZPATRICK
Credential :
Telephone Number : 610-644-7824
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/22/2020

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Directions to “BENCHMARK ORTHOTICS & PROSTHETICS, INC. ” Practice Location

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