Organization
FABLUSH MEDICAL WIG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINAT ADAMS RN (CEO)
(862) 244-8947
Entity
Organization
Contact information
Practice address
720 LIVINGSTON ST, ELIZABETH, NJ 07201-2817
(862) 201-5411
Mailing address
720 LIVINGSTON ST, ELIZABETH, NJ 07201-2817
(862) 201-5411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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