OrganizationActive
Northeast Orthotics & Prosthetics, Inc.
NPI 1124399084 · Prosthetic/Orthotic Supplier · Providence, RI
Provider details
- NPI number
- 1124399084
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mark Marich, Owner(401) 437-8016
- License
- CO00011 (RI)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
765 Allens Ave
Suite 250
Providence, RI 02905-5443
Phone: (401) 437-8016
Fax: (401) 437-8923
Approximate (ZIP-level) locationGet directions
Mailing address
765 Allens Ave
Providence, RI 02905-5443
Registry dates
- Enumerated
- 2012-01-24
- Last updated
- 2012-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.