# SOUTH COAST ORTHOPEDIC TECHNOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023205853
- **Authorized official:** RANDY SCOTT PENNEY CPO (PRESIDENT)
- **Authorized official phone:** (508) 998-7268

## Contact information

- **Practice address:** 535 FAUNCE CORNER RD, SUITE 201, N DARTMOUTH, MA 02747-1242
- **Practice address phone:** (508) 998-7268
- **Practice address fax:** (508) 998-7267
- **Mailing address:** 535 FAUNCE CORNER RD, SUITE 201, N DARTMOUTH, MA 02747-1242
- **Mailing address phone:** (508) 998-7268
- **Mailing address fax:** (508) 998-7267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 03/05/2010