| NPI | 1871731893 |
|---|---|
| Former Legal Business Name | SIMON PETERS |
| Entity Type | Organization |
| Authorized Contact | LINCOLN BLACK CEO 973-220-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2016-01-20 |