Organization
A & J SHOE CORP
Active
Other names
Hawley Lane Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LEE LEVY CPED (PEDORTHIST)
(203) 847-9400
Entity
Organization
Contact information
Practice address
499 WESTPORT AVE, NORWALK, CT 06851
(203) 847-9400
(203) 845-0304
Mailing address
499 WESTPORT AVE, NORWALK, CT 06851
(203) 847-9400
(203) 845-0304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004271110
—
CT
Enumeration date
03/27/2007
Last updated
06/17/2008
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