Organization
FUNCTIONAL WELLNESS SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERLANDO SALVATORE LOTEMPIO (MANAGER)
(732) 299-2793
Entity
Organization
Contact information
Practice address
136 DRUM POINT RD STE 5A, BRICK, NJ 08723-6275
(732) 299-2793
Mailing address
136 DRUM POINT RD STE 5A, BRICK, NJ 08723-6275
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
About Stedi
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