Organization
ATLANTIC SURGICAL SUPPLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD AKHTAR SIDDIQUI (PRESIDENT)
(201) 310-1530
Entity
Organization
Contact information
Practice address
591 SUMMIT AVE STE 619, JERSEY CITY, NJ 07306-2709
(201) 310-1530
(201) 433-0757
Mailing address
591 SUMMIT AVE STE 619, JERSEY CITY, NJ 07306-2709
(201) 310-1530
(201) 433-0757
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0400489660
NJ
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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