Individual
MAYRELI GENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DME SPECIALIST
Contact information
Practice address
471 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3646
(732) 324-8700
(732) 324-8702
Mailing address
471 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3646
(732) 324-8700
(732) 324-8702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
452712884
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452712884
TAX ID
NJ
Enumeration date
07/12/2011
Last updated
07/12/2011
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