| NPI | 1376763250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON JOHNSON President 201-739-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |