Provider Demographics
NPI:1780136358
Name:TRUE MEDICAL LLC
Entity type:Organization
Organization Name:TRUE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOSTENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROFAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-725-1573
Mailing Address - Street 1:1160 KENNEDY BLVD
Mailing Address - Street 2:SUITE C, ROOM #2
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002
Mailing Address - Country:US
Mailing Address - Phone:201-725-1375
Mailing Address - Fax:180-037-3142
Practice Address - Street 1:1160 KENNEDY BLVD
Practice Address - Street 2:SUITE C, ROOM #2
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3128
Practice Address - Country:US
Practice Address - Phone:201-725-1375
Practice Address - Fax:180-037-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies