Organization
NEW JERSEY MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE GRACE DOMINGUEZ-YOST (PRESIDENT)
(856) 778-3707
Entity
Organization
Contact information
Practice address
3111 ROUTE 38, LARCHMONT COMMONS BLDG 8, MOUNT LAUREL, NJ 08054-9754
(856) 778-3707
Mailing address
3111 ROUTE 38, LARCHMONT COMMONS BLDG 8, MOUNT LAUREL, NJ 08054-9754
(856) 778-3707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1362148
NJ
Other
Enumeration date
07/30/2007
Last updated
02/22/2008
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