Organization
JERSEY CITY MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC TOMAS SANTIAGO (OWNER)
(201) 217-9950
Entity
Organization
Contact information
Practice address
418 BALDWIN AVE, SUITE 2, JERSEY CITY, NJ 07306-1675
(201) 217-9950
(201) 217-9952
Mailing address
418 BALDWIN AVE, SUITE 2, JERSEY CITY, NJ 07306-1675
(201) 217-9950
(201) 217-9952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289264
—
NJ
05
—
8565601
—
NJ
Enumeration date
05/17/2016
Last updated
05/17/2016
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