Individual
ANTHONY SAYRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAPS
Contact information
Practice address
18 MOORETOWN RD, SWEET VALLEY, PA 18656-2243
(570) 762-2774
(570) 477-1470
Mailing address
18 MOORETOWN RD, SWEET VALLEY, PA 18656-2243
(570) 762-2774
(570) 477-1470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000010215
PA
332BC3200X
Customized Equipment (DME)
6000010215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030393700001
—
PA
Enumeration date
04/22/2022
Last updated
04/22/2022
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