Organization
JACK GOLD SURGICAL APPLIANCES, INC.
Active
Other names
AlliedOP, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(973) 328-3340
Entity
Organization
Contact information
Practice address
300 EAST BROWN STREET, SUITE B, EAST STROUDSBURG, PA 18301-3007
(570) 420-9900
(570) 420-4529
Mailing address
300 EAST BROWN STREET, SUITE B, EAST STROUDSBURG, PA 18301-3007
(570) 420-9900
(570) 420-4529
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6000005108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073257880003
—
PA
Enumeration date
06/11/2006
Last updated
05/11/2026
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