Provider Demographics
NPI:1790879443
Name:EURO O & P, LLC
Entity Type:Organization
Organization Name:EURO O & P, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BODI
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHOV
Authorized Official - Suffix:
Authorized Official - Credentials:LO, LP
Authorized Official - Phone:609-430-9020
Mailing Address - Street 1:4454 RT. 27
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08528
Mailing Address - Country:US
Mailing Address - Phone:609-430-9020
Mailing Address - Fax:609-430-9070
Practice Address - Street 1:4454 RT. 27
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:08528
Practice Address - Country:US
Practice Address - Phone:609-430-9020
Practice Address - Fax:609-430-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45PO00010300335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0064629Medicaid
NJ0064629Medicaid