| NPI | 1548415169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE DONDERO Owner 609-695-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ md001022) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |