NPI | 1639431703 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD MANGANIELLO CEO 203-483-8488 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |