Organization
NORTHEAST MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GASIEWSKI (PRESIDENT)
(215) 743-6267
Entity
Organization
Contact information
Practice address
2716 ORTHODOX ST, PHILADELPHIA, PA 19137-1604
(215) 743-6267
(215) 743-8848
Mailing address
757 LILY RD, WARMINSTER, PA 18974-5525
(215) 743-6267
(215) 743-8848
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016391680001
—
PA
Enumeration date
12/06/2007
Last updated
12/06/2007
Update your record
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