NPI | 1003096850 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN B JENNINGS Owner 732-458-4911 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MD1868) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2007-11-09 |