Organization
MERCADO ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY EDITH MOORE (OWNER)
(413) 750-9915
Entity
Organization
Contact information
Practice address
580 COURT STREET, LEVEL LA, KEENE, NH 03431-1718
(603) 354-5400
(888) 494-1402
Mailing address
PO BOX 15108, SPRINGFIELD, MA 01115-5108
(413) 750-9915
(877) 331-0490
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/24/2022
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