| NPI | 1235484908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART WEINER Owner 732-739-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45P000003300) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |