Organization
NORTHEAST ORTHOTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A SAVLOFF C.O., C.PED., CFO (PRESIDENT)
(215) 868-7120
Entity
Organization
Contact information
Practice address
3223 N BROAD ST STE 150, PHILADELPHIA, PA 19140-5007
(215) 707-9474
Mailing address
2326 S COLORADO ST, PHILADELPHIA, PA 19145-4321
(215) 868-7120
(267) 818-1068
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
45PD00001000
NJ
335E00000X
Prosthetic/Orthotic Supplier
OF000151
PA
335E00000X
Prosthetic/Orthotic Supplier
Primary
OH000284
PA
335E00000X
Prosthetic/Orthotic Supplier
PD000109
PA
Other
Enumeration date
01/24/2017
Last updated
07/21/2022
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