Organization
BENEFICIAL MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLY BAKSHIYEV (OWNER/PRESIDENT)
(732) 580-0660
Entity
Organization
Contact information
Practice address
50 US HIGHWAY 9 STE 108, GROSSO OFFICE PARK, MORGANVILLE, NJ 07751-1558
(732) 580-0660
Mailing address
50 US HIGHWAY 9 STE 108, GROSSO OFFICE PARK, MORGANVILLE, NJ 07751-1558
(732) 580-0660
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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