# CAPE MEDICAL ATLANTIC, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cape Atlantic Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679517593
- **Authorized official:** MR. THOMAS NIWINSKI (PRESIDENT)
- **Authorized official phone:** (215) 396-0844

## Contact information

- **Practice address:** 36 TERRY DR, SUITE D, TREVOSE, PA 19053-6518
- **Practice address phone:** (215) 396-0844
- **Practice address fax:** (215) 396-0849
- **Mailing address:** 36 TERRY DR, SUITE D, TREVOSE, PA 19053-6518
- **Mailing address phone:** (215) 396-0844
- **Mailing address fax:** (215) 396-0849

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/22/2020
