Organization
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO/ AO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
14500 BROADWAY AVE, CLEVELAND, OH 44125-1960
(216) 475-8440
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2856959
—
OH
Enumeration date
08/15/2008
Last updated
10/13/2025
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