| NPI | 1891713764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL HUIZING President 973-376-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ HP0105800) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-02-11 |