MEDICARE: G&D SURGICAL AND DRUG CO 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760409494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&D SURGICAL AND DRUG CO INC

Provider Business Mailing Address
First Line	:	225 NORTH DEAN ST
Second Line	:
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-2559
Country	:	US
Telephone Number	:	201-567-0011
Fax Number	:	201-567-5141

Provider Business Practice Location Address
First Line	:	225 NORTH DEAN ST
Second Line	:
City	:	ENGLEWOOD
State	:	NJ
Zip	:	07631-2559
Country	:	US
Telephone Number	:	201-567-0011
Fax Number	:	201-567-5141

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GAIL L FISCHER
Credential	:
Telephone Number	:	201-567-0011

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/26/2008

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