Organization
MEDIDYNE CORP
Active
Other names
MediDyne
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE UHLENBURG L. (PRESIDENT)
(973) 882-4567
Entity
Organization
Contact information
Practice address
80 LITTLE FALLS RD, STE 5, FAIRFIELD, NJ 07004-2136
(973) 882-4567
(973) 882-3637
Mailing address
80 LITTLE FALLS RD, STE 5, FAIRFIELD, NJ 07004-2136
(973) 882-4567
(973) 882-3637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000888816
—
DE
05
—
01628697
—
NY
05
—
01629632 0004
—
PA
01
—
1520683
UNITED MINE WORKERS
CA
05
—
3097955
—
CT
05
—
5526019000
—
MD
01
—
608653
BLUE CROSS BLUE SHIELD
VA
01
—
80-00026
EVERCARE
TX
05
—
8046301
—
NJ
01
—
G6627
EMPIRE BLUE CROSS
NY
Enumeration date
06/01/2005
Last updated
06/19/2008
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