Organization
MED-ONE SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P. NOCEK (OWNER)
(570) 287-9882
Entity
Organization
Contact information
Practice address
210 DIVISION ST, KINGSTON, PA 18704-2715
(570) 287-9882
(570) 287-8535
Mailing address
210 DIVISION ST, KINGSTON, PA 18704-2715
(570) 287-9882
(570) 287-8535
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1000002518
PA
Other
Enumeration date
08/11/2005
Last updated
12/13/2007
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