| NPI | 1437957743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RURIC (ANDY) CLESBY ANDERSON Md 973-322-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-10 |