Provider Demographics
NPI:1699441857
Name:AFI ORTHOTICS & PROSTHETICS, LLC
Entity type:Organization
Organization Name:AFI ORTHOTICS & PROSTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BARTON
Authorized Official - Last Name:MAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:860-833-8459
Mailing Address - Street 1:65 NORTH FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-2100
Mailing Address - Country:US
Mailing Address - Phone:860-833-8459
Mailing Address - Fax:203-621-3134
Practice Address - Street 1:65 NORTH FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-2100
Practice Address - Country:US
Practice Address - Phone:203-535-1986
Practice Address - Fax:203-621-3134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier