Organization
PEDI-CARE CORP
Active
Other names
PEDICARE ORTHOTICS & PROSTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
RAIZEL ROSENBERG (PRESIDENT)
(732) 415-2318
Entity
Organization
Contact information
Practice address
1352 RIVER AVE STE 4, LAKEWOOD, NJ 08701-5646
(732) 415-2318
(732) 584-2786
Mailing address
1352 RIVER AVE STE 4, LAKEWOOD, NJ 08701-5646
(732) 415-2318
(732) 584-2786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
04003305999
NJ
Other
Enumeration date
01/21/2011
Last updated
03/27/2025
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