Provider Demographics
NPI:1477042489
Name:NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Entity Type:Organization
Organization Name:NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-483-8488
Mailing Address - Street 1:16 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2801
Mailing Address - Country:US
Mailing Address - Phone:203-483-8488
Mailing Address - Fax:
Practice Address - Street 1:801 MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3319
Practice Address - Country:US
Practice Address - Phone:978-371-1684
Practice Address - Fax:978-371-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier