Organization
WILLOW MEDICAL
Active
Other names
SHORE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH THOMAS PRICE JR. N/A (PRESIDENT/OWNER)
(609) 653-6161
Entity
Organization
Contact information
Practice address
505 NEW RD, SOMERS POINT, NJ 08244-2049
(609) 653-6161
(609) 653-9604
Mailing address
505 NEW RD, SOMERS POINT, NJ 08244-2049
(609) 653-6161
(609) 653-9604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3620603
—
NJ
Enumeration date
04/18/2006
Last updated
03/27/2008
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