NPI | 1649884297 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BENTANCUR Owner 973-286-9258 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2020-09-01 |
Last Update Date | 2024-11-14 |