Organization
IRA STEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA M STEIN DPM (OWNER)
(732) 888-0110
Entity
Organization
Contact information
Practice address
1070 STATE ROUTE 34, STE U, MATAWAN, NJ 07747-3481
(732) 888-0110
(732) 696-1074
Mailing address
1070 STATE ROUTE 34, STE U, MATAWAN, NJ 07747-3481
(732) 888-0110
(732) 696-1074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2011
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