Organization
SHORE PROSTHETICS AND ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(410) 897-1141
Entity
Organization
Contact information
Practice address
844 RITCHIE HWY, SUITE 202, SEVERNA PARK, MD 21146-4137
(410) 897-1141
(866) 294-9581
Mailing address
844 RITCHIE HWY STE 202, SEVERNA PARK, MD 21146-4137
(410) 897-1141
(866) 294-9581
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699336200
—
MD
01
—
Y393
BLUE CROSS BLUE SHIELD
MD
Enumeration date
03/11/2008
Last updated
05/12/2026
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