Organization
WICHITANIGMEDICALSUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNDAY BAMIDELE MARTIN (PRESIDENT)
(908) 447-7709
Entity
Organization
Contact information
Practice address
169 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-2835
(908) 447-7709
Mailing address
169 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-2835
(908) 447-7709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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