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Peter J Kazanovicz
Prosthetic/Orthotic Supplier in Worcester, Massachusetts
NPI 1649454604

Peter J Kazanovicz is a Prosthetic/Orthotic Supplier based in Bedford, MA. Peter J Kazanovicz practices in Worcester, MA. The NPI Number for Peter J Kazanovicz is 1649454604 and holds a License No. (Massachusetts).

The current practice location address for Peter J Kazanovicz is 460 Lincoln St, Worcester, MA and can be reached out via phone at 508-756-9900 and via fax at 603-644-2354. You can also correspond with Peter J Kazanovicz through the mailing address at 169 S RIVER RD, BEDFORD, NH - 03110-6971 (mailing address contact number: 603-622-5200).

Location: 460 Lincoln St, Worcester, MA, 03110-6971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649454604
Provider Name
Peter J Kazanovicz
Credential
Provider Entity Type
Organization
Address
460 Lincoln St, Worcester, MA, 03110-6971
Phone Number
508-756-9900
Fax Number
603-644-2354
Provider Enumeration Date
12/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1530330 05 MA
institution
Provider Business Practice Location Address Details
Address
460 Lincoln St
City
Worcester
State
Massachusetts
Zip
01605-1918
Phone Number
508-756-9900
Fax Number
603-644-2354
person
Provider Business Mailing Address Details
Address
169 S River Rd
City
Bedford
State
New Hampshire
Zip
03110-6971
Phone Number
603-622-5200
Fax Number
603-644-2354
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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