Organization
PRIME MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA SOTO (PRESIDENT)
(732) 475-0213
Entity
Organization
Contact information
Practice address
1875 ROUTE 88 STE 2, BRICK, NJ 08724-3533
(609) 216-1625
Mailing address
1875 ROUTE 88 STE 2, BRICK, NJ 08724-3533
(609) 216-1625
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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