Organization
POMAC METRO IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON SHRETER CPO (EXEC. DIRECTOR)
(856) 273-9636
Entity
Organization
Contact information
Practice address
365 C NEW ALBANY RD., MOORESTOWN., NJ 08057
(856) 273-9636
(856) 273-7886
Mailing address
365 C NEW ALBANY RD., MOORESTOWN, NJ 08057
(856) 273-9636
(856) 273-7886
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
12/09/2013
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