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General NPI Number Information
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NPI Number | 1881962181
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Entity Type | Organization
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Legal Business Name | COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, INC.
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 329 E JIMMIE LEEDS RD SUITE 3
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City | GALLOWAY
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State | NJ
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Zip | 08205-4110
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Country | US
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Telephone | 609-404-0314
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4686 1390 RT. 37 WEST
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City | TOMS RIVER
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State | NJ
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Zip | 08754-4686
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Country | US
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Telephone | 732-349-2990
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL FRIED
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Credential |
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Telephone | 732-349-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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