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Organization

PARADIGM PROSTHETICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROGER HAMILTON (OWNER/PROSTHETIST)
(301) 741-7038
Entity
Organization

Contact information

Practice address
10903 INDIAN HEAD HWY STE 312, FORT WASHINGTON, MD 20744-4005
(301) 741-7038
Mailing address
10903 INDIAN HEAD HWY STE 312, FORT WASHINGTON, MD 20744-4005
(301) 741-7038

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7763650001
MEDICARE
MD
01
7763650001
MEDICARE
Enumeration date
05/30/2019
Last updated
10/28/2019
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