Organization
STELLAR PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER WHALEN PROSTHETIC PRACTICE (PROSTHETIST)
(215) 364-5727
Entity
Organization
Contact information
Practice address
55 BUCK RD, HUNTINGDON VALLEY, PA 19006-1501
(215) 364-5727
Mailing address
55 BUCK RD, HUNTINGDON VALLEY, PA 19006-1501
(215) 364-5727
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CP2557
PA
Other
Enumeration date
08/14/2007
Last updated
03/19/2008
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