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Organization

AMICI'S ORTHOTICS & PROSTHETICS, INC

Active
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Organization

AMICI'S ORTHOTICS & PROSTHETICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH H NOLL CO (PRESIDENT)
(410) 877-0642
Entity
Organization

Contact information

Practice address
2135 HAMPTON CT, FALLSTON, MD 21047-2020
(410) 877-4160
Mailing address
2135 HAMPTON CT, FALLSTON, MD 21047-2020
(410) 877-4160

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
12203879
MD
335E00000X
Prosthetic/Orthotic Supplier
Primary
12203879
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400890100
MD
01
F725
BLUECROSSBLUESHIELD
MD
01
MK07AM
BCBS DME PROVIDER #
MD
Enumeration date
10/16/2006
Last updated
08/05/2009
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