Organization Name: | HOWARD HUDSON DPM PA |
NPI Number: | 1154591980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD P HUDSON (OWNER) |
Mailing Address: | 1255 Rt 70 Suite 21s Lakewood |
State: | NJ US |
Postal Code: | 087015900 |
Phone Number: | 7323672220 |
Fax Number: | 7323672293 |
NPI Enumeration Date: | 03/07/2008 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | MD000958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |