Organization
SUPREME ORTHO FITTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ELIAS (CEO)
(973) 885-2974
Entity
Organization
Contact information
Practice address
269A BLOOMFIELD AVE, VERONA, NJ 07044-2408
(973) 885-2974
Mailing address
501 BLOOMFIELD AVE, CALDWELL, NJ 07006-5427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
02/01/2024
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