Organization
NASPAC1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY CHEULKAR (COO)
(609) 410-9424
Entity
Organization
Contact information
Practice address
4101 ROUTE 42 STE C, BLACKWOOD, NJ 08012-1782
(856) 516-4566
(856) 516-4577
Mailing address
404 CREEK CROSSING BLVD # 404, HAINESPORT, NJ 08036-2768
(609) 410-9424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
08/29/2019
Last updated
01/18/2021
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