Organization
PRECIOUS ORTHOTIC & DIABETIC FOOT WEAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BASS (CERTIIED SHOE FITTER)
(732) 752-8881
Entity
Organization
Contact information
Practice address
6 ANDREW ST, GREEN BROOK, NJ 08812-2504
(732) 752-8881
Mailing address
6 ANDREW STREET, GREEN BROOK, NJ 08812
(732) 752-8881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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