Organization
MAIN LINE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN BERNHARDT (CEO)
(610) 734-0800
Entity
Organization
Contact information
Practice address
460 N BLACK HORSE PIKE, BLACKWOOD, NJ 08012-3037
(610) 734-0800
(610) 352-6711
Mailing address
303 S 69TH ST, UPPER DARBY, PA 19082-4213
(610) 734-0800
(610) 734-1326
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0718317
NJ
Other
Enumeration date
06/03/2016
Last updated
06/06/2016
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