| NPI | 1689135402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MAZANOWSKI President 732-229-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |