Jefferson Prosthetic & Orthotic Company, Inc.
NPI #1609089523 in South Orange, New Jersey
Provider Information
- NPI Number
- 1609089523
- Entity Type
- Organization
- Organization Name
- Jefferson Prosthetic & Orthotic Company, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 7, 2007
- Last Updated
- Oct 5, 2011
Practice Location
- Address
- 120 PROSPECT ST
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-2103
- Phone
- (973) 762-0780
Authorized Official
- Name
- MR. SIMON C. W. CHANG, C.P.O.
- Title
- PRESIDENT
- Phone
- (973) 762-0780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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