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Shree Tara Diversified
Prosthetic/Orthotic Supplier in Union City, New Jersey
NPI 1508583493

Shree Tara Diversified is a Prosthetic/Orthotic Supplier based in Union City, NJ. Shree Tara Diversified practices in Union City, NJ. The NPI Number for Shree Tara Diversified is 1508583493 and holds a License No. (New Jersey).

The current practice location address for Shree Tara Diversified is 2115 Bergenline Ave, Union City, NJ and can be reached out via phone at 201-766-5538 and via fax at 201-319-9340.

Location: 2115 Bergenline Ave, Union City, NJ, 07087-3507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508583493
Provider Name
Shree Tara Diversified
Credential
Provider Entity Type
Organization
Address
2115 Bergenline Ave, Union City, NJ, 07087-3507
Phone Number
201-766-5538
Fax Number
201-319-9340
Provider Enumeration Date
10/21/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2115 Bergenline Ave
City
Union City
State
New Jersey
Zip
07087-3507
Phone Number
201-766-5538
Fax Number
201-319-9340
person
Provider Business Mailing Address Details
Address
2115 Bergenline Ave
City
Union City
State
New Jersey
Zip
07087-3507
Phone Number
201-766-5538
Fax Number
201-319-9340
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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