Provider Demographics
NPI:1447391610
Name:UNION ORTHOTICS & PROSTHETICS CO
Entity type:Organization
Organization Name:UNION ORTHOTICS & PROSTHETICS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-325-2650
Mailing Address - Street 1:3424 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1323
Mailing Address - Country:US
Mailing Address - Phone:412-622-2020
Mailing Address - Fax:412-621-6315
Practice Address - Street 1:51 DUTILH RD STE 120
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-4148
Practice Address - Country:US
Practice Address - Phone:724-742-1050
Practice Address - Fax:724-742-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0331550007Medicare NSC