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Peter J Kazanovicz
Prosthetic/Orthotic Supplier in Portland, Maine
NPI 1710161773

Peter J Kazanovicz is a Prosthetic/Orthotic Supplier based in Bedford, ME. Peter J Kazanovicz practices in Portland, ME. The NPI Number for Peter J Kazanovicz is 1710161773 and holds a License No. (Maine).

The current practice location address for Peter J Kazanovicz is 1685 Congress Street, Portland, ME and can be reached out via phone at 207-772-1467 and via fax at 603-644-2354.

Location: 1685 Congress Street, Portland, ME, 03110-6971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710161773
Provider Name
Peter J Kazanovicz
Credential
Provider Entity Type
Organization
Address
1685 Congress Street, Portland, ME, 03110-6971
Phone Number
207-772-1467
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
141840000 05 ME
institution
Provider Business Practice Location Address Details
Address
1685 Congress Street
City
Portland
State
Maine
Zip
04102-2776
Phone Number
207-772-1467
Fax Number
603-644-2354
person
Provider Business Mailing Address Details
Address
1685 Congress Street
City
Portland
State
Maine
Zip
04102-2776
Phone Number
207-772-1467
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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