Individual
BRIAN O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 NEW RD, SUITE 57, LINWOOD, NJ 08221-2025
(609) 927-6330
(609) 927-6366
Mailing address
199 NEW RD, SUITE 57, LINWOOD, NJ 08221-2025
(609) 927-6330
(609) 927-6366
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
45PO00009200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5417406
—
NJ
Enumeration date
03/13/2017
Last updated
03/13/2017
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