| NPI | 1619315504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALBERT RUBINO Owner 484-620-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 0788620120509) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |