| NPI | 1639969892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAAD TAHIR COO 732-231-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2025-05-10 |