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Organization

ORTHO CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIA MOOERS DIDDELL LPO, BOCPO, C.PED. (PRESIDENT)
(908) 232-9910
Entity
Organization

Contact information

Practice address
10 PROSPECT ST, 1ST FLOOR, WESTFIELD, NJ 07090-2114
(908) 232-9910
(908) 232-9915
Mailing address
10 PROSPECT ST, 1ST FLOOR, WESTFIELD, NJ 07090-2114
(908) 232-9910
(908) 232-9915

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00014100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0244376
NJ
Enumeration date
10/07/2006
Last updated
04/11/2012
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