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Organization

BACK ON YOUR FEET MEDICAL SUPPLY, INC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN C CAPUTO LO (PRESIDENT)
(732) 244-8859
Entity
Organization

Contact information

Practice address
599 ROUTE 37 W, 3RD FLOOR, TOMS RIVER, NJ 08755-8011
(732) 244-8859
Mailing address
PO BOX 42, COLTS NECK, NJ 07722-0042

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0400176895
NJ

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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