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Organization
BOLD AIR RESPIRATORY INC.
Active
Organization
BOLD AIR RESPIRATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN P SHIELDS (PRESIDENT)
(732) 206-1600
Entity
Organization
Contact information
Practice address
1106B INDUSTRIAL PKWY, BRICK, NJ 08724-2508
(732) 206-1600
Mailing address
1106B INDUSTRIAL PKWY, BRICK, NJ 08724-2508
(732) 206-1600
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003925000
AMERIHEALTH
—
05
—
8354600
—
NJ
Enumeration date
11/21/2006
Last updated
08/22/2020
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