Organization
MAIN LINE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ROBERT BERNHARDT (CEO)
(610) 734-0800
Entity
Organization
Contact information
Practice address
2635 WESTFIELD AVE, CAMDEN, NJ 08105-1132
(856) 365-1211
Mailing address
303 S 69TH ST, UPPER DARBY, PA 19082-4213
(610) 734-0800
(610) 734-1326
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5003351
NJ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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