Organization
PRO MEDICAL EAST LLC
Active
Parent organization
PRO MEDICAL EAST LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRO MEDICAL EAST LLC
Authorized official
MRS. PATRICIA ANN MOODY (OFFICE MANAGER)
(732) 348-0103
Entity
Organization
Contact information
Practice address
178 MAIN AVE, PASSAIC, NJ 07055-5403
(862) 225-3444
Mailing address
1950 RUTGERS UNIVERSITY BLVD STE D, LAKEWOOD, NJ 08701-4537
(732) 348-0103
(732) 348-0209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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