Organization
SUNRISE PROSTHETICS & ORTHOTICS, INC
Active
Parent organization
SUNRISE PROSTHETICS & ORTHOTICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNRISE PROSTHETICS & ORTHOTICS, INC
Authorized official
MS. KAREN M LYNCH CPO (PRESIDENT)
(508) 473-9943
Entity
Organization
Contact information
Practice address
2 S MAIN ST, MILFORD, MA 01757-3250
(508) 473-9943
Mailing address
10 HARVARD ST, WORCESTER, MA 01609-2831
(508) 753-4738
(508) 797-4390
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO1936
ABC CERTIFICATION #
MA
Enumeration date
03/22/2007
Last updated
10/10/2008
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