Organization
GARDEN STATE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE SHARON LEO (OWNER)
(848) 448-2302
Entity
Organization
Contact information
Practice address
24 UNION AVENUE, LAKEHURST, NJ 08733-0084
(732) 657-9600
(732) 657-9400
Mailing address
PO BOX 84, BEACHWOOD, NJ 08722-0084
(732) 657-9600
(732) 657-9400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
03/12/2007
Last updated
07/25/2008
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