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Organization

MANFREDI SURGICAL & ORTHOPEDIC CO., INC.

Active
Other names
MANFREDI ORTHOTIC & PROSTHETIC AFFILATES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT C. MANFREDI JR. C.P.O., L.P.O. (OWNER)
(732) 380-0366
Entity
Organization

Contact information

Practice address
749 HOPE RD, SUITE C, EATONTOWN, NJ 07724-1432
(732) 380-0366
(732) 380-0245
Mailing address
749 HOPE RD, SUITE C, EATONTOWN, NJ 07724-1432
(732) 380-0366
(732) 380-0245

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00001100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2641607
NJ
Enumeration date
08/26/2005
Last updated
10/15/2013
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