Organization
CRYOMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEXTER POWELL (OWNER)
(347) 884-6773
Entity
Organization
Contact information
Practice address
235 PROSPECT AVENUE, SUITE 17 #5118, WEST ORANGE, NJ 07052
(347) 884-6773
Mailing address
235 PROSPECT AVENUE, SUITE 17 #5118, WEST ORANGE, NJ 07052
(347) 884-6773
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/12/2022
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