Provider Demographics
NPI:1487803102
Name:NJ ORTHO BRACING, LLC
Entity type:Organization
Organization Name:NJ ORTHO BRACING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GIANFRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PALANGIO
Authorized Official - Suffix:
Authorized Official - Credentials:ATC
Authorized Official - Phone:973-235-9511
Mailing Address - Street 1:17 WHITE TER
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1939
Mailing Address - Country:US
Mailing Address - Phone:973-235-9511
Mailing Address - Fax:973-235-1410
Practice Address - Street 1:17 WHITE TER
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1939
Practice Address - Country:US
Practice Address - Phone:973-235-9511
Practice Address - Fax:973-235-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies