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Organization
MEDTIX LLC
Active
Organization
MEDTIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE J DRAINE (DIRECTOR OF BILLING)
(302) 645-8070
Entity
Organization
Contact information
Practice address
8101 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3422
(302) 645-8070
(302) 645-8870
Mailing address
16337 COASTAL HWY, LEWES, DE 19958-3607
(302) 645-8070
(302) 645-8870
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000008758
PA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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