| |
199 New Rd Ste 47, Linwood, NJ 08221-2025 | |
(609) 904-0900 | |
(609) 904-0800 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
Location | 199 New Rd Ste 47, Linwood, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710735071 | 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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365 W Passaic St Ste 530, Rochelle Park, NJ 07662-3012 Ph: (201) 571-0214 | 199 New Rd Ste 47, Linwood, NJ 08221-2025 Ph: (609) 904-0900 |