Organization
EAST COAST DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DACOSTA (MANAGER)
(561) 578-8400
Entity
Organization
Contact information
Practice address
1439 PUEBLO CT, TOMS RIVER, NJ 08755-4079
(561) 578-8400
(973) 755-0309
Mailing address
1439 PUEBLO CT, TOMS RIVER, NJ 08755-4079
(561) 578-8400
(973) 755-0309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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