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Organization

MEDIQUIP SUPPLIES CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER BURLAK (OWNER)
(347) 599-5882
Entity
Organization

Contact information

Practice address
185 KINGSLAND ST, NUTLEY, NJ 07110-1119
(347) 599-5882
Mailing address
185 KINGSLAND ST, NUTLEY, NJ 07110-1119
(347) 599-5882

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/14/2024
Last updated
02/14/2024
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