Organization
BERGENLINE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL L PEREZ (PRESIDENT)
(201) 866-0001
Entity
Organization
Contact information
Practice address
2115 BERGENLINE AVE, UNION CITY, NJ 07087-3507
(201) 866-0001
(201) 866-0386
Mailing address
2115 BERGENLINE AVE, UNION CITY, NJ 07087-3507
(201) 866-0001
(201) 866-0386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4622502
—
NJ
Enumeration date
09/01/2006
Last updated
08/22/2020
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