Organization
PERFECT FIT ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD R TYAS (ADMINISTRATOR)
(732) 272-5685
Entity
Organization
Contact information
Practice address
1529 MARCONI RD, WALL TOWNSHIP, NJ 07719-3915
(732) 272-5685
(732) 894-3291
Mailing address
1529 MARCONI RD, WALL TOWNSHIP, NJ 07719-3915
(732) 272-5685
(732) 894-3291
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
NJ
Other
Enumeration date
07/07/2015
Last updated
07/21/2022
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