Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glenn Beall, CPO

Individual provider Prosthetist · NPI 1790204063

Glenn Beall, CPO is a Prosthetist in Oakland, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

48 Hiawatha Blvd
Oakland, NJ 07436-2919
Phone: (619) 867-6094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 45PO00017000 (NJ)

Record details

NPI number1790204063
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorYes
NPI enumeratedSeptember 18, 2017
Last updated in NPPESSeptember 18, 2017