Diverse Medical LLC
NPI #1710281688 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1710281688
- Entity Type
- Organization
- Organization Name
- Diverse Medical LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 6, 2011
- Last Updated
- Jan 24, 2017
Practice Location
- Address
- 515 VALLEY ST
- Address 2
- SUITE 5
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-1388
- Phone
- (973) 327-2471
Authorized Official
- Name
- MS. MARILU COSCOLLUELA
- Title
- OWNER
- Phone
- (973) 325-5768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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