| NPI | 1700432754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HOGAN President 732-984-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |