Organization
MATAWAN HME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EKATERINA ANDREEVA (PRESIDENT)
(732) 395-2695
Entity
Organization
Contact information
Practice address
169 MAIN ST STE 102, MATAWAN, NJ 07747-4105
(732) 395-2695
Mailing address
169 MAIN ST STE 102, MATAWAN, NJ 07747-4105
(732) 395-2695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0450220666
NJ
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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