Organization
MYTHIC HEALTH, LLC
Active
Other names
Mythic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS PODOLSKY (OWNER)
(732) 898-1569
Entity
Organization
Contact information
Practice address
116 CROW HILL RD, JACKSON, NJ 08527-4256
(732) 898-1569
Mailing address
116 CROW HILL RD, JACKSON, NJ 08527-4256
(732) 898-1569
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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