NPI 1629753058
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Practice location
- Address
- 20 S Arlene Dr, West Long Branch, NJ 07764-1154
- Phone
- (732) 801-5743
Authorised official
- Name
- William J Michalski
- Title
- Owner
- Phone
- (732) 802-5743
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1629753058
- Entity type
- Organization
- NPI issued
- 21 Jun 2023
- Record last updated
- 21 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.