| NPI | 1750741740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS O'DARE Prinicipal 856-335-5025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |