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Organization

BLOSSOM MATERNITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LIPA WALTER (OWNER)
(514) 692-0706
Entity
Organization

Contact information

Practice address
1303 RIVER AVE STE 103, LAKEWOOD, NJ 08701-5699
(732) 930-6369
Mailing address
1303 RIVER AVE UNIT 3, LAKEWOOD, NJ 08701-5695
(732) 930-6369

Taxonomy

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

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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