Organization
ATLANTIC PROSTHETIC & ORTHOTIC
Active
Other names
ATPRO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL L RUTLEDGE CO/BOCO (ADMINISTRATOR)
(609) 364-5001
Entity
Organization
Contact information
Practice address
69 CLEMENTON RD, BERLIN, NJ 08009-1369
(609) 927-6330
(609) 927-6366
Mailing address
199 NEW RD, SUITE 57, LINWOOD, NJ 08221-2025
(609) 927-6330
(609) 927-6366
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5417406
—
NJ
Enumeration date
09/09/2014
Last updated
09/09/2014
Update your record
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