| NPI | 1619153939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA BRYAN Owner 609-404-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MD0002522) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ MD0002522) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ MD250002522) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-09-05 |