| NPI | 1649440447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT J WACHA Doctor 973-226-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 25MD00116900) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2021-06-23 |