Provider Demographics
NPI:1437967486
Name:HUDSON PROSTHETICS, LLC
Entity type:Organization
Organization Name:HUDSON PROSTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CERTIFIED PROSTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:IV
Authorized Official - Credentials:CP
Authorized Official - Phone:443-523-4079
Mailing Address - Street 1:7421 W HOLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILLARDS
Mailing Address - State:MD
Mailing Address - Zip Code:21874-1288
Mailing Address - Country:US
Mailing Address - Phone:443-523-4079
Mailing Address - Fax:
Practice Address - Street 1:1502 PEMBERTON DR UNIT E
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2475
Practice Address - Country:US
Practice Address - Phone:443-667-2515
Practice Address - Fax:443-228-4598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier