Organization
MEDEAST POST-OP & SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLISON KIMURA (ORTHOTIST)
(267) 433-1073
Entity
Organization
Contact information
Practice address
580 MEETINGHOUSE RD, AMBLER, PA 19002-3923
(888) 629-2030
(267) 299-9001
Mailing address
580 MEETINGHOUSE RD, AMBLER, PA 19002-3923
(888) 629-2030
(267) 299-9001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3000007808
PA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002051000
INDEPENDENCE BLUE CROSS
PA
01
—
001604998
HIGHMARK BLUE SHIELD
PA
05
—
0199532
—
NJ
05
—
1022940370001
—
PA
01
—
330022900
U.S. DEPT. OF LABOR/ACS
PA
01
—
A08010870
MEDICARE EDI SUBMITTER #
PA
Enumeration date
07/03/2006
Last updated
02/23/2021
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