MEDICARE: ACCUMED MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1477956480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCUMED MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	5205 WOODLAND AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19143-5027
Country	:	US
Telephone Number	:	800-642-7165
Fax Number	:

Provider Business Practice Location Address
First Line	:	5205 WOODLAND AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19143-5027
Country	:	US
Telephone Number	:	800-642-7165
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	KEVIN LONG
Credential	:
Telephone Number	:	800-642-7165

Provider Enumeration Date	:	10/04/2014
Last Update Date	:	10/04/2014

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Directions to “ACCUMED MEDICAL SUPPLIES ” Practice Location

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