Organization
A1 MOBILITY PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE PASSARELLA (MANAGER)
(570) 654-2221
Entity
Organization
Contact information
Practice address
180 WILKES PLAZA, WILKES BARRE, PA 18702
(570) 270-5336
(570) 270-5889
Mailing address
180 WILKES PLAZA, ROUTE 309, WILKES BARRE TOWNSHIP, PA 18702
(570) 270-5336
(570) 270-5889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101658664 0001
—
PA
Enumeration date
03/20/2007
Last updated
07/21/2022
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