Organization
PRO FIT PROSTHETICS AND ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD DALSEY CPO FAAOP (OWNER)
(856) 374-8006
Entity
Organization
Contact information
Practice address
901 ROUTE 168, SUITE 410, TURNERSVILLE, NJ 08012
(856) 374-8006
(856) 374-0169
Mailing address
901 ROUTE 168, SUITE 410, TURNERSVILLE, NJ 08012
(856) 374-8006
(856) 374-0169
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00015100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005171000
AMERIHEALTH GROUP
—
01
—
117308
HORIZON NJ HEALTH
NJ
01
—
2657725
AETNA
—
01
—
2K1903
HEALTHNET
—
01
—
64577
AMERIGROUP
—
05
—
8664609
—
NJ
Enumeration date
11/01/2006
Last updated
08/22/2020
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