Organization
SHILPA S. DEWOOLKAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHILPA S DEWOOLKAR OTR,CHT (SOLE PROPRIETOR)
(201) 343-3644
Entity
Organization
Contact information
Practice address
155 POLIFLY RD STE 104, HACKENSACK, NJ 07601-1749
(201) 343-3644
(201) 343-1770
Mailing address
155 POLIFLY RD STE 104, HACKENSACK, NJ 07601-1749
(201) 343-3644
(201) 343-1770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
46TR00069000
NJ
332BC3200X
Customized Equipment (DME)
Primary
46TR00069000
NJ
Other
Enumeration date
05/22/2007
Last updated
01/09/2008
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