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Organization
ADVANCE PROSTHETIC AND ORTHOTIC INC
Active
Organization
ADVANCE PROSTHETIC AND ORTHOTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEWS MANCHA (DIRECTOR)
(201) 317-3443
Entity
Organization
Contact information
Practice address
111 DEAN DR, TENAFLY, NJ 07670-2764
(201) 429-6960
(201) 429-6961
Mailing address
51 CURTMANTLE RD, MICKLETON, NJ 08056-1263
(201) 317-3442
(201) 353-2343
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
07/25/2023
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