| NPI | 1902105505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J BRAY Owner/Director 201-666-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45P000014900) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |