NPI | 1992014559 |
---|---|
Entity Type | Organization |
Authorized Contact | AVI WEISFOGEL Owner 732-254-5999 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2010-09-30 |
Last Update Date | 2011-02-18 |