Provider Demographics
NPI:1588115562
Name:SYNERGY ORTHOPEDICS, LLC
Entity type:Organization
Organization Name:SYNERGY ORTHOPEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER & SALES LEADERS
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAGOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-292-8400
Mailing Address - Street 1:920 GERMANTOWN PIKE STE 210
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-7401
Mailing Address - Country:US
Mailing Address - Phone:610-292-9400
Mailing Address - Fax:610-292-0908
Practice Address - Street 1:8322 BELLONA AVE STE 303
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2077
Practice Address - Country:US
Practice Address - Phone:410-321-1126
Practice Address - Fax:410-321-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies