Organization
EVERGREEN MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBADIT LATIF (OWNER)
(347) 217-5952
Entity
Organization
Contact information
Practice address
9 COTTONWOOD LN APT B, OLD BRIDGE, NJ 08857-4714
(347) 217-5952
Mailing address
9 COTTONWOOD LN APT B, OLD BRIDGE, NJ 08857-4714
(347) 217-5952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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