| NPI | 1376934216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GORDON Owner 732-228-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2016-08-31 |