Organization
DONNELLY ORTHOTIC AND PROSTHETIC SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DONNELLY CPO (MEMBER)
(203) 605-1725
Entity
Organization
Contact information
Practice address
27 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
(203) 605-1725
Mailing address
27 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
(203) 605-1725
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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