Organization
PHOENIX MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DENNER (PRESIDENT)
(609) 617-8387
Entity
Organization
Contact information
Practice address
29 S NEW YORK RD STE 900, GALLOWAY, NJ 08205-9697
(215) 453-8367
Mailing address
29 S NEW YORK RD STE 900, GALLOWAY, NJ 08205-9697
(215) 453-8367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
06/03/2026
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