Healthcare Provider Details

I. General information

NPI: 1699212837
Provider Name (Legal Business Name): MEDICAL SERVICES SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARQUETTE AVE NW
ALBUQUERQUE NM
87102-5340
US

IV. Provider business mailing address

500 E SWEDESFORD RD STE 100
WAYNE PA
19087-1614
US

V. Phone/Fax

Practice location:
  • Phone: 800-229-5116
  • Fax: 888-379-2524
Mailing address:
  • Phone: 800-229-5116
  • Fax: 888-379-2524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN O'CONNOR
Title or Position: PRESIDENT
Credential:
Phone: 610-564-5562