Whalio Doctors

NPI 1124153499

Surgicare INC

Organisation Prosthetic/Orthotic Supplier Portland, ME

Practice location

Address
190 Riverside St Suite 6a, Portland, ME 04103-1073
Phone
(207) 773-7896
Fax
(207) 773-4645
Mailing address
71 1st Ave, Waltham, MA 02451-1105

Authorised official

Name
Darcy Ann Diliddo
Title
Compliance Officer
Phone
(781) 290-1807

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary
Suppliers Taxonomy 335E00000X Licence 335E00000X (ME)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 332B00000X (ME)

Registry record

NPI
1124153499
Entity type
Organization
NPI issued
23 Feb 2007
Record last updated
4 May 2010

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.