Organization
MID ATLANTIC PROSTHETICS AND ORTHOTICS NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH BOCCPO (CERTIFIED PROSTHETIST ORTHOTIST)
(302) 824-2360
Entity
Organization
Contact information
Practice address
2604 KIRKWOOD HWY, SUITE C, WILMINGTON, DE 19805-4910
(302) 824-2360
(302) 691-7302
Mailing address
2604 KIRKWOOD HWY, SUITE C, WILMINGTON, DE 19805-4910
(302) 824-2360
(302) 691-7302
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
10-999999-99
DE
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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