| NPI | 1235392507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIC A BROTZ President 732-905-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2010-02-19 |