Organization
MED-X AT HOME
Active
Organization
MED-X AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD G AUGUST (VICE PRESIDENT)
(732) 721-2700
Entity
Organization
Contact information
Practice address
540 BORDENTOWN AVE, STE 4550, SOUTH AMBOY, NJ 08879-1546
(732) 721-3700
(732) 721-2860
Mailing address
PO BOX 720, MATAWAN, NJ 07747-0720
(732) 721-3700
(732) 721-2860
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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