Organization
ATLANTIC PROSTHETIC AND ORTHOTIC SERVICES
Active
Other names
AtlanticProCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN-PAUL DONOVAN CPO (PRESIDENT)
(207) 774-1002
Entity
Organization
Contact information
Practice address
1274 CONGRESS ST, PORTLAND, ME 04102-2111
(207) 774-1002
(207) 774-9002
Mailing address
1274 CONGRESS ST, PORTLAND, ME 04102-2111
(207) 774-1002
(207) 774-9002
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
CPO 1271
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007654
BLUE CROSS & BLUE SHIELD
ME
Enumeration date
01/26/2007
Last updated
09/11/2025
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