| NPI | 1295044899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI WEISFOGEL President/Owner 732-254-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN15455) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-02-18 |