Organization
MEDX ACQUISITION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH W DESTEFANO (PRESIDENT & CEO)
(610) 971-1900
Entity
Organization
Contact information
Practice address
279 GREAT VALLEY PKWY, MALVERN, PA 19355-1308
(610) 971-1900
(610) 971-2200
Mailing address
279 GREAT VALLEY PKWY, MALVERN, PA 19355-1308
(610) 971-1900
(610) 971-2200
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/06/2008
Last updated
08/24/2009
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