Organization
SCOLI3D, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN EASTON CO, LPO, BOCO, BOCP (CEO - CLINICAL DIRECTOR)
(646) 262-1845
Entity
Organization
Contact information
Practice address
540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879-1546
(646) 262-1845
Mailing address
141 SILOAM RD, FREEHOLD, NJ 07728-8608
(646) 262-1845
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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