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NPI 1790022457

OrganizationActive

1 Source Medical, LLC

NPI 1790022457 · Customized Equipment (DME) · Vineland, NJ

Provider details

NPI number: 1790022457
Entity type: Organization
Primary specialty: Customized Equipment (DME)Suppliers
Authorized official: Dianilda Torres, Ceo

Practice location

1068 E Landis Ave

Suite a

Vineland, NJ 08360-4042

Phone: (856) 691-1510

Fax: (856) 692-1389

More NJ providers

Mailing address

1068 E Landis Ave

Vineland, NJ 08360-4042

Registry dates

Enumerated: 2013-01-14
Last updated: 2013-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1 Source Medical, LLC — NPI 1790022457, Vineland, NJ | NPI Central