Organization
ORTHOPEDIC APPLIANCE & BRACE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PETER LONARDO C.O. (VICE PRESIDENT)
(401) 331-5548
Entity
Organization
Contact information
Practice address
280 BROADWAY, PROVIDENCE, RI 02903-3007
(401) 331-5548
(401) 621-8691
Mailing address
280 BROADWAY, PROVIDENCE, RI 02903-3007
(401) 331-5548
(401) 621-8691
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP00008
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200837
BLUE CHIP OF R.I.
RI
01
—
2959
NEIGHBORHOOD HEALTH OF RI
RI
05
—
9009701
—
RI
01
—
9701-9
BLUE CROSS OF R.I.
RI
Enumeration date
01/04/2007
Last updated
03/16/2012
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