Organization
BTD GROUP, LLC
Active
Other names
Olde Soles Cobbler Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN T. DI GIULIO CERTIFIED PEDORTHIST (OWNER)
(856) 216-8003
Entity
Organization
Contact information
Practice address
295 ROUTE 70 W, CHERRY HILL, NJ 08002-3096
(856) 216-8003
(856) 216-8223
Mailing address
295 ROUTE 70 W, CHERRY HILL, NJ 08002-3096
(856) 216-8003
(856) 216-8223
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C46786
NJ
225000000X
Orthotic Fitter
C46786
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
C46786
NJ
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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