Provider Demographics
NPI:1841706173
Name:AFA ORTHOTICS AND PROSTHETICS LLC
Entity type:Organization
Organization Name:AFA ORTHOTICS AND PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARMELIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-266-7666
Mailing Address - Street 1:2086 GENERALS HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6759
Mailing Address - Country:US
Mailing Address - Phone:410-266-7666
Mailing Address - Fax:410-266-7703
Practice Address - Street 1:2086 GENERALS HWY STE 305
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-6759
Practice Address - Country:US
Practice Address - Phone:410-266-7666
Practice Address - Fax:410-266-7703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-22
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty