| NPI | 1578134359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD NICHOLAS KAUFMAN Owner / President 203-777-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |