Organization
GATEWAY TO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN D. GRABKOWSKI RRT RPSGT (CEO)
(973) 330-5899
Entity
Organization
Contact information
Practice address
30 HADLEY AVE, CLIFTON, NJ 07011
(973) 330-5899
(973) 416-9861
Mailing address
1360 CLIFTON AVE, SUITE 102, CLIFTON, NJ 07012-1453
(973) 330-5899
(973) 416-9861
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
43ZA00309400
NJ
Other
Enumeration date
02/07/2012
Last updated
10/16/2015
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