Organization
PRO-FIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD DALSEY CPO, FAAOP (OWNER)
(856) 809-9910
Entity
Organization
Contact information
Practice address
215 EDGEWOOD AVE, WEST BERLIN, NJ 08091
(856) 809-9910
(856) 809-9945
Mailing address
215 EDGEWOOD AVE, WEST BERLIN, NJ 08091
(856) 809-9910
(856) 809-9945
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
45PO0015100
NJ
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2657725
AETNA
NJ
05
—
8664609
—
NJ
Enumeration date
10/23/2007
Last updated
03/17/2018
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