Provider Demographics
NPI:1932472008
Name:VALLEY PROSTHETICS & ORTHOTICS, INC
Entity Type:Organization
Organization Name:VALLEY PROSTHETICS & ORTHOTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:610-770-1515
Mailing Address - Street 1:1255 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6256
Mailing Address - Country:US
Mailing Address - Phone:610-770-1515
Mailing Address - Fax:610-770-1522
Practice Address - Street 1:595 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 402
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9710
Practice Address - Country:US
Practice Address - Phone:267-263-4966
Practice Address - Fax:610-770-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022332380003Medicaid
PA6141410002Medicare NSC