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Organization

OXYGEN SUPPORT SYSTEMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANA SQUIRES GREEN (PRESIDENT)
(856) 931-1121
Entity
Organization

Contact information

Practice address
153 HARDING AVENUE, BELLMAWR, NJ 08031-2413
(856) 931-1121
(856) 931-1123
Mailing address
PO BOX 845, CHERRY HILL, NJ 08003-0845
(856) 931-1121
(856) 931-1123

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010955730005
PA
05
2947102
NJ
Enumeration date
11/01/2006
Last updated
06/23/2011
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