Organization
1 ACTIVE MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMADEUS MANATA (PRESIDENT)
(908) 578-7176
Entity
Organization
Contact information
Practice address
1490 ROUTE 1, NORTH BRUNSWICK, NJ 08902-2011
(732) 247-6666
(732) 247-6664
Mailing address
1490 ROUTE 1, SUITE# A, NORTH BRUNSWICK, NJ 08902-2011
(732) 247-6666
(732) 247-6664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
03/29/2010
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