Provider Demographics
NPI:1548258205
Name:CHARLES TABEEK & SON PHYSICIANS & HOSP. SUPPLY COMP. INC.
Entity type:Organization
Organization Name:CHARLES TABEEK & SON PHYSICIANS & HOSP. SUPPLY COMP. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TABEEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-694-6771
Mailing Address - Street 1:430 BOONTON TPKE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-2331
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:430 BOONTON TPKE
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-2331
Practice Address - Country:US
Practice Address - Phone:973-694-6771
Practice Address - Fax:973-628-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0213500001Medicare ID - Type Unspecified