| NPI | 1831440841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA JEAN ELARDO-REPAK Office Manager 732-667-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |