Organization
ORTHOTIC PROSTHETIC ASSOCIATES, INC.
Active
Other names
RJM Orthotic & Prosthetic Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J MANFREDI CP (PRESIDENT/CEO)
(732) 905-9020
Entity
Organization
Contact information
Practice address
2105 WEST COUNTY LINE ROAD, SUITE 9, JACKSON, NJ 08527
(732) 905-9020
(732) 905-9088
Mailing address
2105 WEST COUNTY LINE ROAD, SUITE 9, JACKSON, NJ 08527
(732) 905-9020
(732) 905-9088
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00004400
NJ
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005089743
AETNA
NJ
01
—
1111538
HORIZON NJ HEALTH
NJ
01
—
39784
UHP
NJ
01
—
57609
NORTHWOOD
NJ
05
—
9036105
—
NJ
01
—
9615438
CIGNA
NJ
01
—
NL2966
HEALTHNET
NJ
Enumeration date
07/16/2006
Last updated
03/19/2009
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