Organization
MEDEX, LLC
Active
Other names
MEDICAL EXPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FISHER (PRESIDENT)
(215) 322-4103
Entity
Organization
Contact information
Practice address
975 JAYMOR RD STE 6, SOUTHAMPTON, PA 18966-3854
(215) 942-9800
(215) 942-7711
Mailing address
975 JAYMOR RD STE 6, SOUTHAMPTON, PA 18966-3854
(215) 942-9800
(215) 942-7711
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000002645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017452390003
—
PA
01
—
002815
INDEPENDENCE BLUE CROSS
PA
Enumeration date
07/07/2005
Last updated
10/09/2024
About Stedi
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