| NPI | 1477699759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINAN KOSHY Manager 215-934-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3662998) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |