Provider Demographics
NPI:1073945937
Name:SKYLAND MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:SKYLAND MEDICAL SUPPLY, INC
Other - Org Name:MED-ABILITY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-813-3003
Mailing Address - Street 1:174 STATE ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5759
Mailing Address - Country:US
Mailing Address - Phone:908-806-3144
Mailing Address - Fax:908-806-3627
Practice Address - Street 1:174 STATE ROUTE 31
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5759
Practice Address - Country:US
Practice Address - Phone:908-806-3144
Practice Address - Fax:908-806-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies