Organization
JEFFERSON PROSTHETIC & ORTHOTIC COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON C. W. CHANG C.P.O. (PRESIDENT)
(973) 762-0780
Entity
Organization
Contact information
Practice address
120 PROSPECT ST, SOUTH ORANGE, NJ 07079-2103
(973) 762-0780
(973) 762-1480
Mailing address
120 PROSPECT ST, SOUTH ORANGE, NJ 07079-2103
(973) 762-0780
(973) 762-1480
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00002400
NJ
Other
Enumeration date
05/07/2007
Last updated
10/05/2011
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