Organization
CHAW WEALTH NEW JERSEY LLC
Active
Other names
Walkwell Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
CAMELIA WALKER (OWNER)
(347) 232-3641
Entity
Organization
Contact information
Practice address
413 SPRINGFIELD AVE, SUMMIT, NJ 07901-2603
(908) 273-7979
(908) 273-7617
Mailing address
413 SPRINGFIELD AVE, SUMMIT, NJ 07901-2603
(908) 273-7979
(908) 273-7617
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7830408
MEDICAID PROVIDER NUMBER
NJ
Enumeration date
10/14/2020
Last updated
10/14/2020
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