Yang Shoe Corp. Dba Jacobus Shoes

NPI 1396920559 - Orthotist - 222Z00000X

NPI Details
NPI 1396920559
Enumeration Date 01/07/2008
Last Updated 08/30/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name YANG SON YANG
Position SECRETARY
Phone (201) 567-3333
Fax (201) 567-3084
Practice Location
101 W PALISADE AVE
ENGLEWOOD NJ, 07631-2635, US
Phone (201) 567-3333
Fax (201) 567-3084
Business Location
101 W PALISADE AVE
ENGLEWOOD NJ, 07631-2635, US
Phone (201) 567-3333
Fax (201) 567-3084
Toxanomy
Taxonomy Code 222Z00000X
License State New Jersey
License Number 21096
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According to our database, Yang Shoe Corp. Dba Jacobus Shoes NPI is 1396920559, taxonomy code is 222Z00000X and license number is 21096, license state is located at New Jersey. Yang Shoe Corp. Dba Jacobus Shoes physically located at 101 W Palisade Ave, Englewood NJ, 07631-2635. NPI Number 1033115704 has the healthcare provider type.

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1396920559 NPI number is provided on an as is basis without warranty of any kind. 1396920559 is maintained by the National Plan & Provider Enumeration System. The contents of Yang Shoe Corp. Dba Jacobus Shoes are for informational purposes only.