Organization
ALPINE MEDICAL & SURGICAL SUPPLIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR KISIN (PRESIDENT)
(732) 698-1110
Entity
Organization
Contact information
Practice address
415 STATE ROUTE 18 UNIT 3, EAST BRUNSWICK, NJ 08816-2305
(732) 698-1110
(732) 698-1130
Mailing address
415 STATE ROUTE 18 UNIT 3, EAST BRUNSWICK, NJ 08816-2305
(732) 698-1110
(732) 698-1130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033561
—
NJ
01
—
5104680001
MEDIARE PTAN
NJ
Enumeration date
10/20/2006
Last updated
07/21/2022
Update your record
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