| NPI | 1013203371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA GEE Office Manager 732-974-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ 25MD00282000) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |