NPI 1639245640

Pedorthic Concepts INC

Organisation Orthotist Beachwood, NJ

Practice location

Address: 145 Atlantic City Blvd, Beachwood, NJ 08722
Phone: (732) 341-6262
Fax: (732) 341-5464

Authorised official

Name: Patricia Dequeiroz
Title: Office Mgr
Phone: (732) 341-6262

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1639245640
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 21 Oct 2008

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.