| NPI | 1891506093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD TARIQ FARIDI Owner 860-523-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |