# OXYGEN ETC., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154685451
- **Authorized official:** MRS. MARY ELLEN R DORAN (PRESIDENT)
- **Authorized official phone:** (215) 621-8924

## Contact information

- **Practice address:** 304 REGENCY DR, NORTH WALES, PA 19454-1618
- **Practice address phone:** (215) 621-8924
- **Mailing address:** PO BOX 146, MONTGOMERYVILLE, PA 18936-0146
- **Mailing address phone:** (215) 621-8924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | PA | Yes |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 12/09/2016