Organization
PRO-THOTICSTECHNOLOGY, INC
Active
Other names
Prothotics Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETER AFFENITA CPO (PRESIDENT)
(877) 776-8400
Entity
Organization
Contact information
Practice address
714 BROADWAY, 1ST FLOOR, PATERSON, NJ 07514-3402
(877) 776-8400
(877) 366-5492
Mailing address
285 SILLS RD, BLDG 3 STE D, EAST PATCHOGUE, NY 11772-4869
(877) 776-8400
(877) 366-5492
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00002800
NJ
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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