Organization
CAPE MEDICAL SUPPLY LLC
Active
Organization
CAPE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
28 JAN SEBASTIAN DR, UNIT 2, SANDWICH, MA 02563-2361
(508) 283-3767
(508) 888-6975
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
(610) 424-4515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519344
—
MA
01
—
238754
BLUE CROSS BLUE SHIELD
MA
01
—
801682
TUFTS HEALTHCARE
MA
Enumeration date
05/24/2005
Last updated
10/02/2025
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