NPI 1093193765

Pro-Thoticstechnology, INC

Organisation Prosthetic/Orthotic Supplier Paterson, NJ

Practice location

Address: 714 Broadway 1st Floor, Paterson, NJ 07514-3402
Phone: (877) 776-8400
Fax: (877) 366-5492
Mailing address: 285 Sills Rd Bldg 3 STE D, East Patchogue, NY 11772-4869

Authorised official

Name: John Peter Affenita
Title: President
Phone: (877) 776-8400

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 45PO00002800 (NJ)

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Registry record

NPI: 1093193765
Entity type: Organization
NPI issued: 13 May 2015
Record last updated: 13 May 2015

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.