Organization
BRISTOT-WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA R DISPENZA (OWNER)
(432) 243-4246
Entity
Organization
Contact information
Practice address
971 US HIGHWAY 202 N # 6719, BRANCHBURG, NJ 08876-3757
(432) 243-4246
Mailing address
971 US HIGHWAY 202 N # 6719, BRANCHBURG, NJ 08876-3757
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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