Doctor Name: | BRIAN KNOWLES |
NPI Number: | 1548270150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 500 Route 23 N Suite 1a Pequannock, NJ - 07444 |
Business Phone Number: | 9738317660 |
Business Fax Number: | 9738317644 |
Mailing Address: | 500 Route 23 N, Suite 1a PEQUANNOCK |
State: | NJ |
Postal Code: | 07444 |
Phone Number: | 9738317660 |
Fax Number: | 9738317644 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |