Organization
NORTHEAST ORTHOTICS AND PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S MARICH C.P.O. (PRESIDENT)
(401) 444-5477
Entity
Organization
Contact information
Practice address
2 DUDLEY ST, STE 161, PROVIDENCE, RI 02905-3236
(401) 444-5477
(401) 444-4237
Mailing address
2 DUDLEY ST, STE 161, PROVIDENCE, RI 02905-3236
(401) 444-5477
(401) 444-4237
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9009539
—
RI
Enumeration date
06/01/2005
Last updated
07/02/2008
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