| NPI | 1962683235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN TADROS MICHAEL Owner 201-535-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 25MD00290800) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2023-03-30 |