Organization
MONONGAHELA MEDICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOSEPH ROSENSTEEL (DME MANAGER)
(412) 258-1318
Entity
Organization
Contact information
Practice address
1163 COUNTRY CLUB RD, MPOB SUITE 104, MONONGAHELA, PA 15063-1013
(724) 258-2273
(724) 258-6111
Mailing address
1163 COUNTRY CLUB RD, MPOB SUITE 104, MONONGAHELA, PA 15063-1013
(724) 258-2273
(724) 258-6111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
601899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014628003
—
PA
01
—
601899
DOH DEVICE DEALER
PA
Enumeration date
01/30/2006
Last updated
03/10/2014
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