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Organization

MODERN LIMB & BRACE CO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HORST H OERTEL CP (OWNER/CP,LPO)
(908) 757-2702
Entity
Organization

Contact information

Practice address
916 SOMERSET ST, WATCHUNG, NJ 07069-6305
(908) 757-2702
(908) 757-0744
Mailing address
916 SOMERSET ST, WATCHUNG, NJ 07069-6305
(908) 757-2702
(908) 757-0744

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00004800
NJ

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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