| NPI | 1497281927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIZKALLA Administrator 609-817-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 25MA09258600) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-12-11 |