Organization
PHILADELPHIA ORTHOTICS AND PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PENNEY CPO/LPO (PRESIDENT/OWNER)
(856) 428-4201
Entity
Organization
Contact information
Practice address
709 SOMERDALE ROAD, VOORHEES, NJ 08043-1313
(856) 428-4201
(856) 428-4204
Mailing address
709 SOMERDALE ROAD, VOORHEES, NJ 08043-1313
(856) 428-4201
(856) 428-4204
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009100060002
—
PA
05
—
3549500
—
NJ
Enumeration date
10/23/2018
Last updated
02/07/2020
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