Organization
COPD SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GOLENIA (AR REPRESENTATIVE)
(718) 571-7700
Entity
Organization
Contact information
Practice address
165 E 9TH AVE, RUNNEMEDE, NJ 08078-1127
(718) 571-7700
Mailing address
7240 60TH LN, GLENDALE, NY 11385-6117
(718) 571-7700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Enumeration date
04/19/2007
Last updated
07/21/2022
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