Organization
GEM GLOBAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MILLER (CHIEF EXECUTIVE OFFICER)
(856) 553-5884
Entity
Organization
Contact information
Practice address
542 BERLIN CROSS KEYS RD STE 3-276, SICKLERVILLE, NJ 08081-4367
(856) 553-5884
Mailing address
542 BERLIN CROSS KEYS RD STE 3-276, SICKLERVILLE, NJ 08081-4367
(856) 553-5884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C15634
NJ
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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