Organization
GOUTERMAN ORTHOPEDIC APPLIANCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M GOUTERMAN (OWNER/PRESIDENT)
(301) 984-3342
Entity
Organization
Contact information
Practice address
11900 PARKLAWN DR., SUITE 207, ROCKVILLE, MD 20852
(301) 984-3342
(301) 984-3378
Mailing address
11900 PARKLAWN DR., SUITE 207, ROCKVILLE, MD 20852
(301) 984-3342
(301) 984-3378
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
15216137
MD
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092468700
—
MD
Enumeration date
10/17/2006
Last updated
12/27/2017
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