Whalio Doctors

NPI 1639501786

Mythic Health, LLC

Organisation Customized Equipment (DME) Jackson, NJ

Practice location

Address
116 Crow Hill Rd, Jackson, NJ 08527-4256
Phone
(732) 898-1569

Authorised official

Name
Chris Podolsky
Title
Owner
Phone
(732) 898-1569

Registered specialties (2)

Customized Equipment (DME) Primary
Suppliers Taxonomy 332BC3200X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1639501786
Entity type
Organization
NPI issued
31 Jul 2013
Record last updated
31 Jul 2013

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.