Provider Demographics
NPI:1023587268
Name:MIDWOOD SURGICAL SUPPLIES INC
Entity type:Organization
Organization Name:MIDWOOD SURGICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-588-8299
Mailing Address - Street 1:210 BRIDGE PLAZA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1753
Mailing Address - Country:US
Mailing Address - Phone:732-588-8299
Mailing Address - Fax:732-588-8229
Practice Address - Street 1:210 BRIDGE PLAZA DR STE 100
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1753
Practice Address - Country:US
Practice Address - Phone:732-588-8299
Practice Address - Fax:732-588-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies