Organization · Type 2 NPI
I.d.m. Medical Supply Co
Oxygen Equipment & Supplies (DME) · Wyckoff, NJ
NPI number
1467610600
Active
Practice location
620 Braen Ave
Wyckoff, NJ 07481-2914
Fax (201) 445-2274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 0691822 (NJ) |
Oxygen Equipment & Supplies (DME): Definition to come...
About NPI 1467610600
I.d.m. Medical Supply Co's National Provider Identifier is 1467610600, issued on May 23, 2008. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Wyckoff, NJ. The record was last updated on Jul 18, 2008.