Organization
PHOENIX MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MCMORROW SR. (OWNER)
(201) 343-0066
Entity
Organization
Contact information
Practice address
300 HUDSON ST, HACKENSACK, NJ 07601-6750
(201) 343-0066
(201) 441-9115
Mailing address
300 HUDSON ST, HACKENSACK, NJ 07601-6750
(201) 343-0066
(201) 441-9115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066371
—
NJ
Enumeration date
07/31/2006
Last updated
10/29/2010
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