Organization
FOOTWORKS LLC
Active
Other names
Smart Feet
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER EDWARD KERR II CPED (PEDORTHIST)
(609) 953-6971
Entity
Organization
Contact information
Practice address
175 ROUTE 70, UNIT 15, MEDFORD, NJ 08055-2300
(609) 953-6971
(609) 953-6972
Mailing address
175 ROUTE 70, UNIT 15, MEDFORD, NJ 08055-2300
(609) 953-6971
(609) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006064000
AMERIHEALTH
NJ
Enumeration date
01/26/2007
Last updated
02/22/2013
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