| NPI | 1760755847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L GERSHON President 757-496-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0101048068) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-07-05 |