Organization
DAVALE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK WALTERS (MANAGER)
(201) 858-1000
Entity
Organization
Contact information
Practice address
449 AVENUE C, BAYONNE, NJ 07002-5105
(201) 858-1000
Mailing address
449 AVENUE C, BAYONNE, NJ 07002-5105
(201) 858-1000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3154904
—
NJ
05
—
8841411
—
NJ
Enumeration date
09/25/2006
Last updated
08/22/2020
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