# NORTHEAST ORTHOTICS & PROSTHETICS, INC.

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

## Provider details

- **NPI number:** 1356343651
- **Authorized official:** MR. MARK S MARICH C.P.O. (PRESIDENT)
- **Authorized official phone:** (401) 444-5477

## Contact information

- **Practice address:** 2 DUDLEY ST, STE 161, PROVIDENCE, RI 02905-3236
- **Practice address phone:** (401) 444-5477
- **Practice address fax:** (401) 444-4237
- **Mailing address:** 2 DUDLEY ST STE 161, PROVIDENCE, RI 02905-3209
- **Mailing address phone:** (401) 444-5477
- **Mailing address fax:** (401) 444-4237

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 07/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9009539 | — | RI |