| NPI | 1497926828 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER GRILL Manager 732-259-6746  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MD002665)  | 
| Enumeration Date | 2008-03-13 | 
| Last Update Date | 2008-03-13 |