# MERCADO ORTHOTICS & PROSTHETICS

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

## Provider details

- **NPI number:** 1801482047
- **Authorized official:** MRS. AUDREY EDITH MOORE (OWNER)
- **Authorized official phone:** (413) 923-7233

## Contact information

- **Practice address:** 10 TEMPLE ST, SPRINGFIELD, MA 01105-1804
- **Practice address phone:** (413) 750-9915
- **Practice address fax:** (413) 750-9916
- **Mailing address:** 10 TEMPLE ST, SPRINGFIELD, MA 01105-1804
- **Mailing address phone:** (413) 923-7233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 04/13/2021