Organization
NORTHEAST ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN MARICH CPO (OWNER)
(401) 437-8016
Entity
Organization
Contact information
Practice address
765 ALLENS AVE, SUITE 250, PROVIDENCE, RI 02905-5443
(401) 437-8016
(401) 437-8923
Mailing address
765 ALLENS AVE, SUITE 250, PROVIDENCE, RI 02905-5443
(401) 437-8016
(401) 437-8923
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
CO00011
RI
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO00018
RI
Other
Enumeration date
01/24/2012
Last updated
11/09/2012
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