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Masonicare Health Center
Prosthetic/Orthotic Supplier in Wallingford, Connecticut
NPI 1427250885

Masonicare Health Center is a Prosthetic/Orthotic Supplier based in Wallingford, CT. Masonicare Health Center practices in Wallingford, CT. The NPI Number for Masonicare Health Center is 1427250885 and holds a License No. 0075 (Connecticut).

The current practice location address for Masonicare Health Center is 22 Masonic Ave, Wallingford, CT and can be reached out via phone at 203-679-5900. You can also correspond with Masonicare Health Center through the mailing address at 22 MASONIC AVE, WALLINGFORD, CT - 06492-3048 (mailing address contact number: 203-679-5900).

Location: 22 Masonic Ave, Wallingford, CT, 06492-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427250885
Provider Name
Masonicare Health Center
Credential
Provider Entity Type
Organization
Address
22 Masonic Ave, Wallingford, CT, 06492-3048
Phone Number
203-679-5900
Fax Number
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004014791 05 CT
institution
Provider Business Practice Location Address Details
Address
22 Masonic Ave
City
Wallingford
State
Connecticut
Zip
06492-3048
Phone Number
203-679-5900
Fax Number
person
Provider Business Mailing Address Details
Address
22 Masonic Ave
City
Wallingford
State
Connecticut
Zip
06492-3048
Phone Number
203-679-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
0075 (Connecticut)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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