Individual
WILLIAM VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO,LPO
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00003200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45PO00003200
PROSTHETIST/ORTHOTIST NUMBER
NJ
Enumeration date
06/08/2017
Last updated
07/21/2022
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