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Jack Gold Surgical Appliances, Inc.
Prosthetic/Orthotic Supplier in Bethlehem, Pennsylvania
NPI 1578775896

Jack Gold Surgical Appliances, Inc. is a Prosthetic/Orthotic Supplier based in Randolph, PA. Jack Gold Surgical Appliances, Inc. practices in Bethlehem, PA. The NPI Number for Jack Gold Surgical Appliances, Inc. is 1578775896 and holds a License No. 6000004016 (Pennsylvania).

The current practice location address for Jack Gold Surgical Appliances, Inc. is 190 Brodhead Rd, Bethlehem, PA and can be reached out via phone at 610-954-0180 and via fax at 610-954-0760. You can also correspond with Jack Gold Surgical Appliances, Inc. through the mailing address at 1 EMERY AVE, RANDOLPH, NJ - 07869-1387 (mailing address contact number: 973-328-3340).

Location: 190 Brodhead Rd, Bethlehem, PA, 07869-1387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578775896
Provider Name
Jack Gold Surgical Appliances, Inc.
Credential
Provider Entity Type
Organization
Address
190 Brodhead Rd, Bethlehem, PA, 07869-1387
Phone Number
610-954-0180
Fax Number
610-954-0760
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0073257880002 05 PA
institution
Provider Business Practice Location Address Details
Address
190 Brodhead Rd
City
Bethlehem
State
Pennsylvania
Zip
18017-8617
Phone Number
610-954-0180
Fax Number
610-954-0760
person
Provider Business Mailing Address Details
Address
190 Brodhead Rd
City
Bethlehem
State
Pennsylvania
Zip
18017-8617
Phone Number
610-954-0180
Fax Number
610-954-0760
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
6000004016 (Pennsylvania)
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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