Organization
ST CLARA MEDICAL SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL PEREIRA SR. (PRESIDENT)
(201) 863-2424
Entity
Organization
Contact information
Practice address
125 48TH ST, UNION CITY, NJ 07087-6454
(201) 863-2424
(201) 863-8585
Mailing address
125 48TH ST, UNION CITY, NJ 07087-6454
(201) 863-2424
(201) 863-8585
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7813406
—
NJ
Enumeration date
08/07/2006
Last updated
08/22/2020
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