INNOVATIVE SUPPLY GROUP LLC NPI 1164756755

NPI Information

INNOVATIVE SUPPLY GROUP, LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Lakewood, NJ. INNOVATIVE SUPPLY GROUP, LLC NPI is 1164756755. The provider is registered as an organization entity type.

The provider's business location address is:

585 PROSPECT ST
UNIT 304
LAKEWOOD, NJ
ZIP 08701-073
Phone: (732) 363-3001

The provider's authorized official is Michael Lebovics .
The authorized official title is Vice President and has the following contact phone number (732) 363-3001.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 12/9/2016.

Taxonomy Codes

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