Provider Demographics
NPI:1669791414
Name:MOBILITY MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:MOBILITY MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-685-2390
Mailing Address - Street 1:207 BOGDEN BLVD
Mailing Address - Street 2:SUITE N
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-4844
Mailing Address - Country:US
Mailing Address - Phone:609-985-2390
Mailing Address - Fax:
Practice Address - Street 1:207 BOGDEN BLVD
Practice Address - Street 2:SUITE N
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332
Practice Address - Country:US
Practice Address - Phone:609-685-2390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment