Organization
SUPREME MEDICAL &SURGICAL EQUIPMENT SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES IDEMUDIA IGIEHON (CEO)
(973) 399-4009
Entity
Organization
Contact information
Practice address
1230 SPRINGFIELD AVE, IRVINGTON, NJ 07111-1982
(973) 399-4009
(973) 399-4033
Mailing address
PO BOX 6355, NEWARK, NJ 07106-0355
(973) 399-4009
(973) 399-4033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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