Organization
BACK PAIN HOME SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MARQUEZ (OWNER)
(856) 691-0482
Entity
Organization
Contact information
Practice address
1133 E CHESTNUT AVE, BLDG 2, VINELAND, NJ 08360-5001
(856) 691-0482
(856) 690-8822
Mailing address
1133 E CHESTNUT AVE, BLDG 2, VINELAND, NJ 08360-5001
(856) 691-0482
(856) 690-8822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0400601424
NJ
Other
Enumeration date
12/16/2013
Last updated
04/16/2014
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