Organization
ACHIVA MEDICAL MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE P GLENN III (PRESIDENT)
(856) 696-3500
Entity
Organization
Contact information
Practice address
44 S STATE ST, VINELAND, NJ 08360-4851
(856) 696-3500
(856) 696-4922
Mailing address
44 S STATE ST, VINELAND, NJ 08360-4851
(856) 696-3500
(856) 696-4922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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