# EU-PT SHOCKWAVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619420510
- **Authorized official:** DR. RICHARD HOLSMAN DPT (DIRECTOR)
- **Authorized official phone:** (973) 393-5545

## Contact information

- **Practice address:** 378 BLOOMFIELD AVE, SUITE 1, CALDWELL, NJ 07006-4956
- **Practice address phone:** (973) 968-6002
- **Practice address fax:** (973) 575-9134
- **Mailing address:** 710 MILL ST, H3, BELLEVILLE, NJ 07109-5318
- **Mailing address phone:** (973) 759-1494
- **Mailing address fax:** (973) 759-0557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016