Innovative Supply Group, Llc

NPI 1164756755 - Durable Medical Equipment & Medical Supplies - 332BP3500X

NPI Details
NPI 1164756755
Enumeration Date 09/29/2009
Last Updated 07/22/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SAUL SAUL
Position PRESIDENT
Phone (908) 389-1818
Fax
Practice Location
200 SHEFFIELD ST
SUITE 105
MOUNTAINSIDE NJ, 07092-2314, US
Phone (908) 389-1818
Fax
Business Location
200 SHEFFIELD ST
SUITE 105
MOUNTAINSIDE NJ, 07092-2314, US
Phone (908) 389-1818
Fax
Toxanomy
Taxonomy Code 332BP3500X
License State New Jersey
License Number 1509850
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According to our database, Innovative Supply Group, Llc NPI is 1164756755, taxonomy code is 332BP3500X and license number is 1509850, license state is located at New Jersey. Innovative Supply Group, Llc physically located at 200 Sheffield St, Mountainside NJ, 07092-2314. NPI Number 1033115704 has the healthcare provider type.

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1164756755 NPI number is provided on an as is basis without warranty of any kind. 1164756755 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Supply Group, Llc are for informational purposes only.