Organization
KIDS FEET LLC
Active
Other names
Kates Bros Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY R MILLS CPED (PEDORTHIST)
(973) 229-7084
Entity
Organization
Contact information
Practice address
329 MAIN ST, HACKENSACK, NJ 07601
(201) 487-1779
(201) 487-1780
Mailing address
329 MAIN ST, HACKENSACK, NJ 07601
(201) 487-1779
(201) 487-1780
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
10/31/2007
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