Organization
CORNELL ORTHOTICS AND PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH D CORNELL CP (PRESIDENT)
(978) 922-2866
Entity
Organization
Contact information
Practice address
104 ENDICOTT ST STE LL03, DANVERS, MA 01923-3688
(978) 774-5800
(978) 774-5801
Mailing address
100 CUMMINGS CTR, SUITE 207-H, BEVERLY, MA 01915-6115
(978) 922-2866
(978) 922-0277
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540611
—
MA
Enumeration date
10/06/2006
Last updated
01/30/2023
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