Provider Demographics
NPI:1265295570
Name:DARGASH MEDICAL INC
Entity type:Organization
Organization Name:DARGASH MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-538-4555
Mailing Address - Street 1:90 EDGECOMB AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6155
Mailing Address - Country:US
Mailing Address - Phone:845-596-5340
Mailing Address - Fax:
Practice Address - Street 1:1965 SWARTHMORE AVE UNIT 9
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4534
Practice Address - Country:US
Practice Address - Phone:732-538-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies