| NPI | 1912391749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEVES TIMIRAOS President 973-553-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 1888921) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |