Organization
NJ CUSTOM BRACING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK A ATZMON DC (AUTHORIZED INDIVIDUAL)
(973) 874-9777
Entity
Organization
Contact information
Practice address
47 HAMBURG TPKE, RIVERDALE, NJ 07457-1127
(973) 874-9777
(973) 341-7791
Mailing address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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