Organization
PRO2 PHILADELPHIA, LLC
Active
Other names
PRO2 Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY FORD (PRESIDENT)
(513) 469-5771
Entity
Organization
Contact information
Practice address
761 5TH AVE, KING OF PRUSSIA, PA 19406-1435
(610) 278-1623
(610) 278-1624
Mailing address
761 5TH AVE, KING OF PRUSSIA, PA 19406-1435
(610) 278-1623
(610) 278-1624
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094412
—
NJ
05
—
1000036013
—
DE
05
—
101133493
—
PA
Enumeration date
07/12/2006
Last updated
10/12/2009
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