Organization Name: | WENDY NACH DPM |
NPI Number: | 1407034150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY GAYLE NACH (PRESIDENT) |
Mailing Address: | 15-01 Broadway Fair Lawn |
State: | NJ US |
Postal Code: | 074106003 |
Phone Number: | 2017946656 |
Fax Number: | 2017947642 |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | MD001827 |
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 |