Organization
ENDURACARE ORTHOTIC & PROSTHETIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL SERENARI CO BOCO (PRESIDENT / CEO)
(724) 930-8544
Entity
Organization
Contact information
Practice address
638 ROSTRAVER RD, SUITE 102, BELLE VERNON, PA 15012-1967
(724) 930-8544
(724) 930-8545
Mailing address
638 ROSTRAVER RD, SUITE 102, BELLE VERNON, PA 15012-1967
(724) 930-8544
(724) 930-8545
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001415688
HIGHMARK BCBS
PA
01
—
0019181990001
MEDICAL ASSISTANCE
PA
05
—
134716
—
PA
01
—
1536991
GATEWAY
PA
01
—
3115996
AETNA
PA
01
—
34358
INTERGROUP SERVICES
PA
05
—
90011602
—
KY
Enumeration date
03/21/2006
Last updated
12/28/2012
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