Organization
ALPHA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARAT IMANGULOV (OWNER)
(267) 776-3839
Entity
Organization
Contact information
Practice address
12 N 26TH ST UNIT A, CAMDEN, NJ 08105-1114
(267) 776-3839
(267) 776-3838
Mailing address
12 N 26TH ST UNIT A, CAMDEN, NJ 08105-1114
(267) 776-3839
(267) 776-3838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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