| NPI | 1871780833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAK ELIYASOVICH SHIMUNOV Member 732-269-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2010-04-14 |