Organization
MANAWAN HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMNA IMTIAZ (SOLE MBR)
(201) 263-1771
Entity
Organization
Contact information
Practice address
19634 CLUB HOUSE RD STE 310, MONTGOMERY VILLAGE, MD 20886-3003
(201) 263-1771
Mailing address
19634 CLUB HOUSE RD STE 310, MONTGOMERY VILLAGE, MD 20886-3003
(201) 263-1771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
08/17/2026
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