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Organization
THE LEONA CORP
Active
Organization
THE LEONA CORP
Active
Other names
Altman Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J MILLER C.O. (PRESIDENT)
(855) 425-8626
Entity
Organization
Contact information
Practice address
638 SILAS DEANE HWY, WETHERSFIELD, CT 06109-3053
(855) 425-8626
(860) 563-3120
Mailing address
638 SILAS DEANE HWY, WETHERSFIELD, CT 06109-3053
(855) 425-8626
(860) 563-3120
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004218708
—
CT
01
—
12DME0157CT01
BLUE CROSS BLUE SHIELD
CT
01
—
795131
CONNECTICARE
CT
Enumeration date
08/15/2006
Last updated
07/25/2011
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