| NPI | 1447491717 |
|---|---|
| Former Legal Business Name | BAYSIDE TECHNICAL COATINGS LLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY FREDELLA President 732-276-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |