# ORTHOPEDIC APPLIANCE & BRACE CENTER INC.

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

## Provider details

- **NPI number:** 1376690982
- **Authorized official:** MR. WILLIAM PETER LONARDO C.O. (VICE PRESIDENT)
- **Authorized official phone:** (401) 331-5548

## Contact information

- **Practice address:** 280 BROADWAY, PROVIDENCE, RI 02903-3007
- **Practice address phone:** (401) 331-5548
- **Practice address fax:** (401) 621-8691
- **Mailing address:** 280 BROADWAY, PROVIDENCE, RI 02903-3007
- **Mailing address phone:** (401) 331-5548
- **Mailing address fax:** (401) 621-8691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | CP00008 | RI | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 03/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200837 | BLUE CHIP OF R.I. | RI |
| 01 | — | 2959 | NEIGHBORHOOD HEALTH OF RI | RI |
| 05 | — | 9009701 | — | RI |
| 01 | — | 9701-9 | BLUE CROSS OF R.I. | RI |