| NPI | 1235340050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED SANTOS General Manager 732-505-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-08-18 |