| NPI | 1255090387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERDOO NWAODUH Owner 201-349-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-22 |