| NPI | 1568042091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRAIG MILLER Owner 973-533-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |