SearchNew JerseyProsthetist

Glenn Beall, CPO

NPI 1790204063 · on the registry since 2017 · sole proprietor

Practice

Address
48 Hiawatha Blvd
Oakland, NJ 07436
Phone
(619) 867-6094

Registry record

Primary taxonomy
Prosthetist
224P00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey