Organization
SILVER LAKE DRUG INC
Active
Other names
Davis Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B REBARBER (OWNER)
(201) 444-2444
Entity
Organization
Contact information
Practice address
577 GOFFLE RD, WYCKOFF, NJ 07481-2946
(201) 444-2444
Mailing address
577 GOFFLE RD, WYCKOFF, NJ 07481
(201) 444-2444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
01/24/2008
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