Provider Demographics
NPI:1801106216
Name:EAST COAST DME
Entity type:Organization
Organization Name:EAST COAST DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-578-8400
Mailing Address - Street 1:1439 PUEBLO CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-4079
Mailing Address - Country:US
Mailing Address - Phone:561-578-8400
Mailing Address - Fax:973-755-0309
Practice Address - Street 1:1439 PUEBLO CT
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4079
Practice Address - Country:US
Practice Address - Phone:561-578-8400
Practice Address - Fax:973-755-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies