Organization
MODERN LIMB & BRACE CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HORST OERTEL C.P. (OWNER)
(908) 757-2702
Entity
Organization
Contact information
Practice address
916 SOMERSET ST, WATCHUNG, NJ 07069-6305
(908) 757-2702
(908) 757-0744
Mailing address
916 SOMERSET ST, WATCHUNG, NJ 07069-6305
(908) 757-2702
(908) 757-0744
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003963000
AMERIHEALTH
NJ
01
—
040045
AETNA
NJ
01
—
10540304
GUARDIAN
NJ
01
—
1066390
HORIZON NJ HEALTH
NJ
01
—
1487608311
HORIZON BCBS
NJ
01
—
260248900
ACS - US DEPT LABOR
NJ
01
—
2758
LIBERTY HEALTH PLANS
NJ
05
—
2784203
—
NJ
01
—
2K1884
HEALTHNET
NJ
01
—
555663
PMSI
NJ
01
—
A522677
OXFORD
NJ
01
—
SO000006600
AMERICHOICE
NJ
Enumeration date
05/22/2006
Last updated
11/21/2012
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