Organization
BESPOKE MEDICAL EQUIPMENT & SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA ADDISON (OWNER/PRESIDENT)
(267) 978-4762
Entity
Organization
Contact information
Practice address
1135 W CHELTENHAM AVE STE 7, ELKINS PARK, PA 19027-3001
(267) 978-4762
Mailing address
1135 W CHELTENHAM AVE STE 7, ELKINS PARK, PA 19027-3001
(267) 978-4762
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
04/05/2023
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