Organization
GOLDEN BRACE MEDICAL SUPPLIED LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GEORGE PHD (CEO)
(267) 368-1011
Entity
Organization
Contact information
Practice address
5922 N BROAD ST, PHILADELPHIA, PA 19141-1851
(267) 368-1011
Mailing address
2210 MICHENER ST, PHILADELPHIA, PA 19115-4320
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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