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Modern Limb And Brace Co
Customized Equipment (DME) in Phila, Pennsylvania
NPI 1497840490

Modern Limb And Brace Co is a Customized Equipment (DME) based in Phila, PA and is specialized in Customized Equipment. Modern Limb And Brace Co practices in Phila, PA. The NPI Number for Modern Limb And Brace Co is 1497840490 and holds a License No. (Pennsylvania).

The current practice location address for Modern Limb And Brace Co is 5310 Rising Sun Ave, Phila, PA and can be reached out via phone at 215-455-6878 and via fax at 215-455-8560.

Location: 5310 Rising Sun Ave, Phila, PA, 19120-3031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497840490
Provider Name
Modern Limb And Brace Co
Credential
Provider Entity Type
Organization
Address
5310 Rising Sun Ave, Phila, PA, 19120-3031
Phone Number
215-455-6878
Fax Number
215-455-8560
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0002647000 01 PA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
5310 Rising Sun Ave
City
Phila
State
Pennsylvania
Zip
19120-3031
Phone Number
215-455-6878
Fax Number
215-455-8560
person
Provider Business Mailing Address Details
Address
5310 Rising Sun Ave
City
Phila
State
Pennsylvania
Zip
19120-3031
Phone Number
215-455-6878
Fax Number
215-455-8560
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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