| NPI | 1770667610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PONT Pres 856-983-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ D1321) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: NJ D1321) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |