Provider Demographics
NPI:1659624658
Name:FIRST CHOICE MEDICAL INC
Entity Type:Organization
Organization Name:FIRST CHOICE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:201-446-4203
Mailing Address - Street 1:17 WINDHAM PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-1224
Mailing Address - Country:US
Mailing Address - Phone:201-446-4203
Mailing Address - Fax:201-689-7385
Practice Address - Street 1:17 WINDHAM PL
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1224
Practice Address - Country:US
Practice Address - Phone:201-446-4203
Practice Address - Fax:201-689-7385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies