NPI 1114507290

Mercado Orthotics & Prosthetics

Organisation Prosthetic/Orthotic Supplier Farmington, CT

Practice location

Address: 399 Farmington Ave Suite Ll1, Farmington, CT 06032-1937
Phone: (833) 888-0057
Fax: (413) 750-9916
Mailing address: PO Box 15108, Springfield, MA 01115-5108

Authorised official

Name: Audrey Edith Moore
Title: Owner
Phone: (413) 923-7233

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Connecticut →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1114507290
Entity type: Organization
NPI issued: 12 Apr 2021
Record last updated: 25 Jan 2022

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.