| |
67 Broadway, Elmwood Park, NJ 07407-1836 | |
(201) 730-3223 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
Location | 67 Broadway, Elmwood Park, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922767698 | NPI | - | NPPES |
0899976 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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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74 Pascack Rd Ste 6, Park Ridge, NJ 07656-1942 Ph: () - | 67 Broadway, Elmwood Park, NJ 07407-1836 Ph: (201) 730-3223 |