Organization
SOUTH EASTERN PENNSYLVANIA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME CULMER (OWNER/OPERATOR)
12156344250
Entity
Organization
Contact information
Practice address
533 E CABOT ST, PHILADELPHIA, PA 19125-3301
(121) 634-4250
Mailing address
533 E CABOT ST, PHILADELPHIA, PA 19125-3301
(121) 634-4250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3000007911
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008701550001
—
PA
Enumeration date
08/31/2007
Last updated
08/31/2007
Update your record
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