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Footworks Llc
Customized Equipment (DME) in Medford, New Jersey
NPI 1912053315

Footworks Llc is a Customized Equipment (DME) based in Medford, NJ and is specialized in Customized Equipment. Footworks Llc practices in Medford, NJ. The NPI Number for Footworks Llc is 1912053315 and holds a License No. (New Jersey).

The current practice location address for Footworks Llc is 175 Route 70, Medford, NJ and can be reached out via phone at 609-953-6971 and via fax at 609-953-6972.

Location: 175 Route 70, Medford, NJ, 08055-2300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912053315
Provider Name
Footworks Llc
Credential
Provider Entity Type
Organization
Address
175 Route 70, Medford, NJ, 08055-2300
Phone Number
609-953-6971
Fax Number
609-953-6972
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0006064000 01 NJ AMERIHEALTH
0006064000 01 NJ INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
175 Route 70
City
Medford
State
New Jersey
Zip
08055-2300
Phone Number
609-953-6971
Fax Number
609-953-6972
person
Provider Business Mailing Address Details
Address
175 Route 70
City
Medford
State
New Jersey
Zip
08055-2300
Phone Number
609-953-6971
Fax Number
609-953-6972
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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