| NPI | 1053399782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRUCE REBARBER Pres 201-444-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ 45PO00005000) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2008-04-28 |