Provider Demographics
NPI:1881651388
Name:MONTGOMERY COUNTY HAND CENTER INC.
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY HAND CENTER INC.
Other - Org Name:THE UPPER EXTREMITY INSTITUTE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-277-1990
Mailing Address - Street 1:1515 DEKALB PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3367
Mailing Address - Country:US
Mailing Address - Phone:610-277-1990
Mailing Address - Fax:610-277-2007
Practice Address - Street 1:1515 DEKALB PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3367
Practice Address - Country:US
Practice Address - Phone:610-277-1990
Practice Address - Fax:610-277-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-004983-L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0410430001Medicare NSC
PA475199Medicare PIN
PAD98801Medicare UPIN