Organization
DELAWARE PEDORTHICS
Active
Organization
DELAWARE PEDORTHICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VON MAURICE HOMER BOCPD (PEDORTHIST)
(302) 230-3065
Entity
Organization
Contact information
Practice address
5321 BRANDYWINE PKWY, WILMINGTON, DE 19803-1471
(302) 230-3065
(302) 230-3045
Mailing address
5321 BRANDYWINE PKWY, WILMINGTON, DE 19803-1471
(302) 230-3065
(302) 230-3045
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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