Organization
AMERICAN SURGICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN EVANS (PRESIDENT)
(570) 622-8713
Entity
Organization
Contact information
Practice address
347 POTTSVILLE-ST. CLAIR HWY, SUITE 2, POTTSVILLE, PA 17901
(570) 622-8713
(570) 622-8191
Mailing address
347 POTTSVILLE-ST CLAIR HWY, SUITE 2, POTTSVILLE, PA 17901
(570) 622-8713
(570) 622-8191
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5413161
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009426810001
—
PA
Enumeration date
02/02/2007
Last updated
03/22/2012
Update your record
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