NPI 1336305713
Edi
Practice location
- Address
- 36 Newark Way Suite 202, Maplewood, NJ 07040-3310
- Phone
- (973) 885-0206
- Fax
- (973) 761-6624
- Mailing address
- PO Box 301, South Orange, NJ 07079-0301
Authorised official
- Name
- Judy Wilson
- Title
- Operator
- Phone
- (973) 885-0206
Registered specialties (2)
Home Delivered Meals
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1336305713
- Entity type
- Organization
- NPI issued
- 5 Aug 2008
- Record last updated
- 5 Aug 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.