Organization
JEFFERSON ORTHOTICS & PROSTHETICS LLC
Active
Other names
Jefferson Orthotics & Prosthetics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH B. SUNSERI JR. (PRESIDENT)
(504) 347-2324
Entity
Organization
Contact information
Practice address
909 AVENUE C, MARRERO, LA 70072-3123
(504) 347-2324
(504) 347-2341
Mailing address
909 AVENUE C, MARRERO, LA 70072-3123
(504) 347-2324
(504) 347-2341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
435810
LA
332BC3200X
Customized Equipment (DME)
435810
LA
335E00000X
Prosthetic/Orthotic Supplier
Primary
435810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1959821
—
LA
Enumeration date
04/05/2006
Last updated
12/09/2015
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