| Organization Name: | MID JERSEY RESP. ASSOCIATES, MEDICAL SUPPLIES & CLINICAL SVCS., INC |
| NPI Number: | 1568421600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORGE LUIS GONZALEZ-GOMEZ (CEO) |
| Mailing Address: | 106 1/2 N Broadway Box 98 South Amboy |
| State: | NJ US |
| Postal Code: | 088791706 |
| Phone Number: | 7327210028 |
| Fax Number: | 7327210008 |
| NPI Enumeration Date: | 03/18/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 43ZA00010300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |