NPI | 1871553875 |
---|---|
Former Legal Business Name | JERSEY MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | ISAAC T SANTIAGO President 201-217-9950 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45PD00000800) |
335E00000X Prosthetic/Orthotic Supplier (Licence: NJ 45PO00012000) | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2018-03-15 |