| NPI | 1104427657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FREDERICK BEIDEMAN Chief Executive Officer 732-930-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |