| NPI | 1457816548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMMI GOONESEKARA Director Of Operations 732-816-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |