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Innovative Supply Group, Llc
Parenteral & Enteral Nutrition Supplies (DME) in Lakewood, New Jersey
NPI 1164756755

Innovative Supply Group, Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Lakewood, NJ and is specialized in Parenteral & Enteral Nutrition. Innovative Supply Group, Llc practices in Lakewood, NJ. The NPI Number for Innovative Supply Group, Llc is 1164756755 and holds a License No. 1509850 (New Jersey).

The current practice location address for Innovative Supply Group, Llc is 585 Prospect St, Lakewood, NJ and can be reached out via phone at 732-363-3001.

Location: 585 Prospect St, Lakewood, NJ, 08701-5073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164756755
Provider Name
Innovative Supply Group, Llc
Credential
Provider Entity Type
Organization
Address
585 Prospect St, Lakewood, NJ, 08701-5073
Phone Number
732-363-3001
Fax Number
Provider Enumeration Date
09/29/2009
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
585 Prospect St
City
Lakewood
State
New Jersey
Zip
08701-5073
Phone Number
732-363-3001
Fax Number
person
Provider Business Mailing Address Details
Address
585 Prospect St
City
Lakewood
State
New Jersey
Zip
08701-5073
Phone Number
732-363-3001
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
1509850 (New Jersey)
Definition
Definition to come...
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