Organization
CAPITAL ORTHOTICS & PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE T ROGERS C.O. (OWNER)
(603) 226-0106
Entity
Organization
Contact information
Practice address
15 NELSON ST, 1ST FLOOR, MANCHESTER, NH 03103
(603) 425-0106
(603) 425-0108
Mailing address
246 PLEASANT ST, SUITE 200, CONCORD, NH 03301-2548
(603) 226-0106
(603) 226-0845
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006572
—
VT
01
—
1209857Y0NH01
ANTHEM
NH
01
—
1250850002
MEDICARE PTAN
NH
05
—
30760132
—
NH
01
—
703776
HARVARD PILGRIM
NH
Enumeration date
01/13/2012
Last updated
01/02/2015
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