Provider Demographics
NPI:1477899011
Name:CRITICARE MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:CRITICARE MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-227-0208
Mailing Address - Street 1:277 FAIRFIELD RD STE 102D
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-1931
Mailing Address - Country:US
Mailing Address - Phone:888-337-9975
Mailing Address - Fax:888-220-8875
Practice Address - Street 1:277 FAIRFIELD RD STE 102D
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-1931
Practice Address - Country:US
Practice Address - Phone:888-337-9975
Practice Address - Fax:888-220-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-01
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies