Organization
VSP MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR PUKHKIY (PRESIDENT)
(215) 677-8770
Entity
Organization
Contact information
Practice address
731-733 RED LION RD, PHILADELPHIA, PA 19115
(215) 677-8770
(215) 677-8748
Mailing address
731-733 RED LION RD, PHILADELPHIA, PA 19115
(215) 677-8770
(215) 677-8748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003109000
BLBS
—
05
—
0019659760001
—
PA
Enumeration date
09/25/2006
Last updated
04/15/2013
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