Organization · NPI-2

B & L Medical Supply, INC

Durable Medical Equipment & Medical Supplies · Fair Lawn, NJ

NPI number1689614984
StatusActive
Last updated in NPPESMay 1, 2008

Details

NPI
1689614984
Entity type
Organization (NPI-2)
Legal business name
B & L Medical Supply, INC
Organization subpart
No
Enumeration date
Jun 7, 2006
Last updated
May 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

23-21 Broadway
Fair Lawn, NJ 07410

Phone 201-797-0304 · Fax 201-797-0454

Mailing address

23-21 Broadway
Fair Lawn, NJ 07410

Phone 201-797-0304 · Fax 201-797-0304

Authorized official

Raisa Brodsky
President
2017970304

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