Organization
ALLCARE MEDICAL PA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LERNER (PRESIDENT)
(732) 251-8000
Entity
Organization
Contact information
Practice address
503 E PENNSYLVANIA BLVD, FEASTERVILLE, PA 19053-7848
(732) 251-8000
(732) 238-1556
Mailing address
PO BOX 696, OLD BRIDGE, NJ 08857-0696
(732) 251-8000
(732) 238-1556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
3000007962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006869000
INDPENDENCE BLUE CROSS
—
01
—
1030798
ACM GOLD
—
01
—
612053000
FEDERAL BLACK LUNG PROG
—
Enumeration date
05/25/2006
Last updated
06/02/2008
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