NPI | 1508475567 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN VAN RAALTE President 973-746-5532 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-07-27 |
Last Update Date | 2021-09-27 |