NPI 1053987032

Dvaworldrx, LLC

Organisation Prosthetic/Orthotic Supplier Hyde Park, MA

Practice location

Address: 274 Kennebec St, Hyde Park, MA 02136-6206
Phone: (781) 241-2782
Fax: (857) 703-2625

Authorised official

Name: Jacquelyn Celes Manzanillo
Title: Manager
Phone: (781) 241-2782

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1053987032
Entity type: Organization
NPI issued: 1 Jun 2021
Record last updated: 1 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.