Organization
COOGAN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK COOGAN (OWNER)
(609) 886-2111
Entity
Organization
Contact information
Practice address
14 OAK AVE, VILLAS, NJ 08251-0004
(609) 886-2111
(609) 886-5668
Mailing address
PO BOX 4, 14 OAK AVE, VILLAS, NJ 08251-0004
(609) 886-2111
(609) 886-5668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5216605
—
NJ
Enumeration date
02/26/2007
Last updated
08/22/2020
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