Organization
WALK WELL SUMMIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER M. ROONEY C.PED (OWNER)
(908) 766-4737
Entity
Organization
Contact information
Practice address
413 SPRINGFIELD AVE, SUMMIT, NJ 07901-2603
(908) 273-7979
(908) 273-7617
Mailing address
413 SPRINGFIELD AVE, WALKWELL SUMMIT, LLC, SUMMIT, NJ 07901-2603
(908) 273-7979
(908) 273-7617
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
NJ
335E00000X
Prosthetic/Orthotic Supplier
335E00000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7830408
—
NJ
Enumeration date
12/22/2006
Last updated
02/09/2016
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