| NPI | 1962405902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY A GLASS Prosthetist/Orthotist 732-545-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45PO00002700) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-06-12 |