| NPI | 1760110894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MADREPERLA CEO/President 908-458-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-03-19 |