Organization
DICARRE NEW JERSEY LLC
Active
Parent organization
DICARRE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DICARRE LLC
Authorized official
DR. HUMBERTO FONG DPT (COO)
(732) 337-6492
Entity
Organization
Contact information
Practice address
125 HALF MILE RD, SUITE 200, RED BANK, NJ 07701-6749
(732) 337-6492
Mailing address
125 HALF MILE RD, SUITE 200, RED BANK, NJ 07701-6749
(732) 337-6492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1959684
NJ
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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