| NPI | 1356610133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS WIEDERHOLZ Owner 609-588-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 25MA08436100) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 25MD00303700) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2024-04-25 |