Organization
W H GOODALE CO
Active
Other names
Goodale Surgical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PERGOLA RPH (PRESIDENT)
(973) 366-0976
Entity
Organization
Contact information
Practice address
16 N SUSSEX ST, DOVER, NJ 07801
(973) 366-0976
(973) 366-2192
Mailing address
16 N SUSSEX ST, DOVER, NJ 07801-3958
(973) 366-0976
(973) 366-2192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139616
—
NJ
Enumeration date
09/26/2017
Last updated
07/21/2022
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