Organization
SUPERIOR MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LAMANNA (PRESIDENT)
(732) 525-8945
Entity
Organization
Contact information
Practice address
1580 LEMOINE AVE, FORT LEE, NJ 07024-5621
(201) 947-3277
Mailing address
1580 LEMOINE AVE, FORT LEE, NJ 07024-5621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33495
AMERIGROUP ID
NJ
Enumeration date
05/15/2007
Last updated
08/22/2020
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