Organization
THEBRACEDOCTORINC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER WILLIAM VALES C.O.,B.O.C.O.,C.PED. (PRESIDENT/ORTHOTIST)
(908) 966-0620
Entity
Organization
Contact information
Practice address
305 E 86TH ST, 1GW, NEW YORK, NY 10028-4702
(212) 592-3272
(732) 495-6319
Mailing address
324 MAIN ST, PORT MONMOUTH, NJ 07758-1046
(908) 966-0620
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Enumeration date
05/17/2008
Last updated
05/17/2008
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