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Organization

MEDISPACE SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM EBNDAOUD (PRESIDENT)
(267) 690-4600
Entity
Organization

Contact information

Practice address
2427 PEROT ST, PHILADELPHIA, PA 19130-2527
(267) 225-6236
Mailing address
2427 PEROT ST, PHILADELPHIA, PA 19130-2527
(267) 225-6236

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
10/25/2023
Last updated
10/26/2023
About Stedi
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