Organization
STRAC MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY DEVRIES (PRESIDENT)
(908) 295-1015
Entity
Organization
Contact information
Practice address
75 WASHINGTON VALLEY RD SUITE 170, BEDMINSTER, NJ 07921
(908) 295-1015
(908) 345-5097
Mailing address
75 WASHINGTON VALLEY RD SUITE 170, BEDMINSTER, NJ 07921
(908) 295-1015
(908) 345-5097
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194249250
NPI NUMBER
NJ
Enumeration date
07/16/2018
Last updated
07/16/2018
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