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Organization

DIVINE HEALTH MEDICAL SUPPLIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HENRY OWEH (MANAGER)
(973) 900-5920
Entity
Organization

Contact information

Practice address
424 GRAND CONCOURSE, BRONX, NY 10451-5331
(718) 993-5918
(718) 993-5919
Mailing address
357 AVON AVE, NEWARK, NJ 07108-1309

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/19/2013
Last updated
02/19/2013
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