Organization
SOMERSET PROSTHETICS AND ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ADAM HONCHARIK CP (PRESIDENT)
(732) 560-2830
Entity
Organization
Contact information
Practice address
56 W UNION AVE, BOUND BROOK, NJ 08805-1716
(732) 560-2830
(732) 560-2832
Mailing address
56 W UNION AVE, BOUND BROOK, NJ 08805-1716
(732) 560-2830
(732) 560-2832
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0506861
AETNA
—
05
—
5495300
—
NJ
01
—
8427791
AETNA
—
Enumeration date
11/07/2006
Last updated
08/22/2020
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