| NPI | 1174357974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN NUSSBERG Managing Partner/COO 203-435-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |