Organization · Type 2 NPI

Imperial Shoe Store Co Inc

Prosthetic/Orthotic Supplier · Jersey City, NJ

NPI number 1619193976 Active

Practice location

516 West Side Ave
Jersey City, NJ 07304-1516

Fax (201) 333-8087

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1619193976

Imperial Shoe Store Co Inc's National Provider Identifier is 1619193976, issued on Apr 17, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jersey City, NJ. The record was last updated on Aug 22, 2020.