Organization
IN HOME LYMPHATIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GERARD LUPO (CFO)
(732) 291-3705
Entity
Organization
Contact information
Practice address
17 HIGHLAND DR, JACKSON, NJ 08527-1235
(732) 291-3705
(732) 291-0787
Mailing address
17 HIGHLAND DR, JACKSON, NJ 08527-1235
(732) 291-3705
(732) 291-0787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/10/2008
Last updated
02/17/2011
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