| NPI | 1104270578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D FREEMAN Part Owner 732-906-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-08-15 |