Glenn Beall, CPO

NPI #1790204063 in Oakland, New Jersey

Provider Information

NPI Number: 1790204063
Entity Type: Individual
Name: Glenn Beall, CPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Sep 18, 2017
Last Updated: Sep 18, 2017

Practice Location

Address: 48 HIAWATHA BLVD
City: Oakland
State: New Jersey
ZIP Code: 07436-2919
Phone: (619) 867-6094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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