| NPI | 1912286147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR PUKHKIY Manager 215-355-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-12-15 |