| NPI | 1386090819 |
|---|---|
| Former Legal Business Name | MID ATLANTIC PROSTHETICS CHOICE, LLC |
| Entity Type | Organization |
| Authorized Contact | RONALD LONGO Owner / President 240-401-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2023-06-13 |