Shree Tara Diversified
Shree Tara Diversified is a Durable Medical Equipment & Medical Supplies in Union City, New Jersey. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2115 Bergenline AveUnion City, NJ 07087-3507
Phone: (201) 766-5538
Fax: (201) 319-9340
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1508583493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kushyup Shah — Owner · (201) 766-5538 |
| Other names | Derosa Medical Supplies |
| NPI enumerated | October 21, 2022 |
| Last updated in NPPES | October 21, 2022 |
| Certification date | October 21, 2022 |
| Mailing address | 2115 Bergenline Ave, Union City, NJ 07087-3507 |
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