Organization
AIR AND WATER SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR SOFER (PRESIDENT)
(201) 953-1719
Entity
Organization
Contact information
Practice address
158 PRINCETON ST, NUTLEY, NJ 07110-1128
(201) 953-1719
Mailing address
158 PRINCETON ST, NUTLEY, NJ 07110-1128
(201) 953-1719
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NJ
320700000X
Physical Disabilities Residential Treatment Facility
—
NJ
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NJ
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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