| NPI | 1962661660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZRA S KAZAM Physician 973-267-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ 32680) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-07-23 |