Healthcare Provider Details

I. General information

NPI: 1982853693
Provider Name (Legal Business Name): ADVANCED MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 WASHINGTON RD SUITE 175
PARLIN NJ
08859-1513
US

IV. Provider business mailing address

PO BOX 3163
SOUTH AMBOY NJ
08879-3163
US

V. Phone/Fax

Practice location:
  • Phone: 888-245-0588
  • Fax: 732-879-0384
Mailing address:
  • Phone: 888-245-0588
  • Fax: 732-879-0384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL BOCCHICCHIO
Title or Position: OWNER
Credential:
Phone: 888-245-0588