Organization
SAMUEL WEISBERG PROSTHETICS LLC
Active
Parent organization
SAMUEL WEISBERG PROSTHETICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMUEL WEISBERG PROSTHETICS LLC
Authorized official
SAMUEL WEISBERG CPO (PRES/OWNER/CPO)
(505) 248-0303
Entity
Organization
Contact information
Practice address
1018 COAL AVE SE, ALBUQUERQUE, NM 87106
(505) 248-0303
(505) 248-1611
Mailing address
1018 COAL AVE SE, ALBUQUERQUE, NM 87106
(505) 248-0303
(505) 248-1611
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6249
—
NM
Enumeration date
02/04/2008
Last updated
01/27/2011
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