Healthcare Provider Details

I. General information

NPI: 1386557338
Provider Name (Legal Business Name): WOODBRIDGE MEDSUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4035 WOODBRIDGE AVE
EDISON NJ
08837-3310
US

IV. Provider business mailing address

4035 WOODBRIDGE AVE
EDISON NJ
08837-3310
US

V. Phone/Fax

Practice location:
  • Phone: 848-319-3513
  • Fax: 833-542-9030
Mailing address:
  • Phone: 848-319-3513
  • Fax: 833-542-9030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: FOUZIA KHAN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 848-319-3513