| NPI | 1124256458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATTHEW MARRO President 203-410-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2018-06-21 |