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350 Bloomfield Ave Ste 5, Bloomfield, NJ 07003-4852 | |
(973) 429-1300 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
Location | 350 Bloomfield Ave Ste 5, Bloomfield, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265123780 | NPI | - | NPPES |
0899976 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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201 State Rt 17 Ste 604, Rutherford, NJ 07070-2574 Ph: (201) 571-0214 | 350 Bloomfield Ave Ste 5, Bloomfield, NJ 07003-4852 Ph: (973) 429-1300 |