Organization
BOGOTA LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MICHAEL GEHRICKE (PRESIDENT)
(609) 652-5551
Entity
Organization
Contact information
Practice address
634 E LOST PINE WAY RD, GALLOWAY, NJ 08205-9694
(609) 652-5551
(609) 652-5554
Mailing address
PO BOX 724, OCEANVILLE, NJ 08231-0724
(609) 652-5551
(609) 652-5554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8721408
—
NJ
Enumeration date
04/24/2007
Last updated
08/22/2020
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