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Organization

MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC

Active
Parent organization
MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC
Authorized official
MICHAEL CORCORAN CPO (CEO)
(301) 585-5347
Entity
Organization

Contact information

Practice address
2012 RENARD CT, SUITE G, ANNAPOLIS, MD 21401-6761
(410) 573-2374
(410) 573-2373
Mailing address
2421 LINDEN LN, SILVER SPRING, MD 20910-1230
(301) 585-5347
(301) 585-4383

Taxonomy

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

Other

Enumeration date
07/30/2014
Last updated
05/24/2024
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