MEDICARE: ARK MEDICAL SUPPLIES ,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		NJ

General Provider Information

NPI Number	:	1669444634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARK MEDICAL SUPPLIES ,INC

Provider Business Mailing Address
First Line	:	48 BAMPTON PL
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1637
Country	:	US
Telephone Number	:	732-222-3057
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 BAMPTON PL
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1637
Country	:	US
Telephone Number	:	732-222-3057
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. PHYLLIS PLESNARSKI
Credential	:
Telephone Number	:	732-222-3057

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	08/22/2020

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Directions to “ARK MEDICAL SUPPLIES ,INC ” Practice Location

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