NPI | 1992095871 |
---|---|
Entity Type | Organization |
Authorized Contact | AVI WEISFOGEL President 732-257-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI20783) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ D120783) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |