| 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 |