Provider Demographics
NPI:1326325408
Name:DURABLE MEDICAL SUPPLY USA, LLC
Entity Type:Organization
Organization Name:DURABLE MEDICAL SUPPLY USA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSABUOHIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:IROWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-672-0707
Mailing Address - Street 1:134 EVERGREEN PL FL 8
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2011
Mailing Address - Country:US
Mailing Address - Phone:973-672-0707
Mailing Address - Fax:973-672-0701
Practice Address - Street 1:134 EVERGREEN PL FL 8
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2011
Practice Address - Country:US
Practice Address - Phone:973-672-0707
Practice Address - Fax:973-672-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies