Organization
HENRY AVE PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SADEL (OWNER)
(215) 483-3300
Entity
Organization
Contact information
Practice address
5830 HENRY AVE, PHILADELPHIA, PA 19128-1701
(215) 483-3300
(215) 483-5471
Mailing address
5830 HENRY AVE, PHILADELPHIA, PA 19128-1701
(215) 483-3300
(215) 483-5471
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PP-415575-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017647900001
—
PA
01
—
3976480
NABP
—
Enumeration date
12/09/2006
Last updated
02/28/2008
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