Organization
SPECIALTY MEDICAL PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY ELLIS (BILLING)
(610) 644-1370
Entity
Organization
Contact information
Practice address
3 PENNSYLVANIA AVE, MALVERN, PA 19355-2417
(610) 644-1370
(610) 644-3992
Mailing address
50 PENNSYLVANIA AVE, MALVERN, PA 19355-2417
(610) 644-1370
(610) 644-3992
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6000005931
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008338
—
NJ
05
—
0018842500001
—
PA
Enumeration date
12/22/2006
Last updated
02/04/2025
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