| NPI | 1528508512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROTH LEON RILEY Director 201-794-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2018-11-26 |