| NPI | 1386857928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYN M ERACE Ar Supervisor 856-539-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NJ 5001899) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |