1619326303 NPI number — MAIN LINE MEDICAL SUPPLIES INC

Table of content: (NPI 1619326303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619326303 NPI number — MAIN LINE MEDICAL SUPPLIES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAIN LINE MEDICAL SUPPLIES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619326303
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
303 S 69TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UPPER DARBY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19082-4213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-734-0800
Provider Business Mailing Address Fax Number:
610-734-1326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
460 N BLACK HORSE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLACKWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08012-3037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-734-0800
Provider Business Practice Location Address Fax Number:
610-352-6711
Provider Enumeration Date:
06/03/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BERNHARDT
Authorized Official First Name:
BENJAMIN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
610-734-0800

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0718317 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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