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Jack Gold Surgical Appliances, Inc.
Prosthetic/Orthotic Supplier in Fair Lawn, New Jersey
NPI 1073745535

Jack Gold Surgical Appliances, Inc. is a Prosthetic/Orthotic Supplier based in Randolph, NJ. Jack Gold Surgical Appliances, Inc. practices in Fair Lawn, NJ. The NPI Number for Jack Gold Surgical Appliances, Inc. is 1073745535 and holds a License No. (New Jersey).

The current practice location address for Jack Gold Surgical Appliances, Inc. is 25-09 Broadway, Fair Lawn, NJ and can be reached out via phone at 201-444-7750 and via fax at 201-612-1323.

Location: 25-09 Broadway, Fair Lawn, NJ, 07869-1387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073745535
Provider Name
Jack Gold Surgical Appliances, Inc.
Credential
Provider Entity Type
Organization
Address
25-09 Broadway, Fair Lawn, NJ, 07869-1387
Phone Number
201-444-7750
Fax Number
201-612-1323
Provider Enumeration Date
08/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0225321 05 NJ
institution
Provider Business Practice Location Address Details
Address
25-09 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-3813
Phone Number
201-444-7750
Fax Number
201-612-1323
person
Provider Business Mailing Address Details
Address
25-09 Broadway
City
Fair Lawn
State
New Jersey
Zip
07410-3813
Phone Number
201-444-7750
Fax Number
201-612-1323
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
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Definition
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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