Provider Demographics
NPI:1073383162
Name:MD DESIGNS & PROSTHETICS
Entity Type:Organization
Organization Name:MD DESIGNS & PROSTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-854-1096
Mailing Address - Street 1:119 EDGAR AVE
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-2703
Mailing Address - Country:US
Mailing Address - Phone:267-854-1096
Mailing Address - Fax:
Practice Address - Street 1:119 EDGAR AVE
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-2703
Practice Address - Country:US
Practice Address - Phone:267-854-1096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier