Organization
SOUTH ORANGE MEDICAL SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEINRICH CHIGIRINSKY (VICE-PRESIDENT)
(973) 763-7869
Entity
Organization
Contact information
Practice address
310 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2502
(973) 763-7869
(973) 763-3502
Mailing address
310 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2502
(973) 763-7869
(973) 763-3502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85766
—
NJ
Enumeration date
02/28/2007
Last updated
02/10/2021
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