| NPI | 1245017177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY PAOLERCIO President Founder Principal CEO 973-281-2129 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 224900000X Mastectomy Fitter | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-12-14 |