Healthcare Provider Details

I. General information

NPI: 1497852412
Provider Name (Legal Business Name): FASH-N-FIT SHOES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RUTH ST
E BRUNSWICK NJ
08816-1415
US

IV. Provider business mailing address

1 RUTH ST
E BRUNSWICK NJ
08816-1415
US

V. Phone/Fax

Practice location:
  • Phone: 732-220-1800
  • Fax: 732-220-1971
Mailing address:
  • Phone: 732-220-1800
  • Fax: 732-220-1971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: HOWARD MALKIN
Title or Position: OWNER
Credential:
Phone: 732-220-1800