Organization
A TO Z QUALITY MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOYA NASTASKIN DPT (PRESIDENT)
(215) 760-2787
Entity
Organization
Contact information
Practice address
11981 AUDUBON AVE, PHILADELPHIA, PA 19116-2418
(267) 528-5802
(215) 754-4966
Mailing address
11981 AUDUBON AVE, PHILADELPHIA, PA 19116-2418
(267) 528-5802
(215) 754-4966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PT017122
PA
332BC3200X
Customized Equipment (DME)
PT017122
PA
335E00000X
Prosthetic/Orthotic Supplier
PT017122
PA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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