Organization
GABRIEL MEDICAL EQUIPMENT AND SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL PATRICK LORDEN (OWNER)
(267) 686-4713
Entity
Organization
Contact information
Practice address
3260 COTTMAN AVE, PHILADELPHIA, PA 19149-1526
(267) 686-4713
Mailing address
3260 COTTMAN AVE, PHILADELPHIA, PA 19149-1526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000008526
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6000008526
CERTIFICATE OF REGISTRATION WITH PA DEPARTMENT OF HEALTH
PA
Enumeration date
07/23/2014
Last updated
01/13/2015
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