Organization
WEST SIDE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL HUDAK (PRESIDENT)
(570) 704-4616
Entity
Organization
Contact information
Practice address
62 W END RD, HANOVER TOWNSHIP, PA 18706-5425
(570) 704-4614
(570) 704-4613
Mailing address
62 W END RD, HANOVER TOWNSHIP, PA 18706-5425
(570) 704-4614
(570) 704-4613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5563260001
PA
Other
Enumeration date
05/30/2007
Last updated
12/31/2009
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