Provider Demographics
NPI:1336423581
Name:PAREA MEDICAL GOODS
Entity Type:Organization
Organization Name:PAREA MEDICAL GOODS
Other - Org Name:AMG SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-862-9300
Mailing Address - Street 1:75 S DEAN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3512
Mailing Address - Country:US
Mailing Address - Phone:201-862-9300
Mailing Address - Fax:201-568-6850
Practice Address - Street 1:75 S DEAN ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3512
Practice Address - Country:US
Practice Address - Phone:201-862-9300
Practice Address - Fax:201-568-6850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies