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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