Healthcare Provider Details

I. General information

NPI: 1336393404
Provider Name (Legal Business Name): PESH MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2008
Last Update Date: 02/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 GREAT MEADOW LANE SUITE 4-B
EAST HANOVER NJ
07936
US

IV. Provider business mailing address

4 GREAT MEADOW LANE SUITE 4-B
EAST HANOVER NJ
07936
US

V. Phone/Fax

Practice location:
  • Phone: 973-585-6262
  • Fax: 973-585-6261
Mailing address:
  • Phone: 973-585-6262
  • Fax: 973-585-6261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM MALAMUT
Title or Position: OWNER
Credential:
Phone: 856-424-1808