Provider Demographics
NPI:1629255146
Name:QUALITY MEDICAL AND SURGICAL SUPPLIES LLC.
Entity Type:Organization
Organization Name:QUALITY MEDICAL AND SURGICAL SUPPLIES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-951-3680
Mailing Address - Street 1:297 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 151
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1538
Mailing Address - Country:US
Mailing Address - Phone:201-951-3680
Mailing Address - Fax:201-265-1706
Practice Address - Street 1:297 KINDERKAMACK RD
Practice Address - Street 2:SUITE 151
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1538
Practice Address - Country:US
Practice Address - Phone:201-951-3680
Practice Address - Fax:201-265-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment