Organization
ADVANCED MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL REIZIS PT, DPT (MANAGING MEMBER)
(908) 670-7573
Entity
Organization
Contact information
Practice address
20 COUNTRY CLUB LN, COLTS NECK, NJ 07722-2222
(908) 670-7573
(855) 678-8887
Mailing address
20 COUNTRY CLUB LN, COLTS NECK, NJ 07722-2222
(908) 670-7573
(855) 678-8887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
40QA01350900
NJ
Other
Enumeration date
01/23/2013
Last updated
01/30/2023
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