Organization Name: | GATEWAY TO HEALTH |
NPI Number: | 1023380037 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN D. GRABKOWSKI (CEO) |
Mailing Address: | 30 Hadley Ave Clifton |
State: | NJ US |
Postal Code: | 07011 |
Phone Number: | 9733305899 |
Fax Number: | 9734169861 |
NPI Enumeration Date: | 02/07/2012 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 43ZA00309400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |