Healthcare Provider Details

I. General information

NPI: 1427565308
Provider Name (Legal Business Name): XOZO MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 03/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 EVANS ST
BETHLEHEM PA
18015-1959
US

IV. Provider business mailing address

210 KNOLL VIEW DR
PHILLIPSBURG NJ
08865-3552
US

V. Phone/Fax

Practice location:
  • Phone: 201-838-5010
  • Fax:
Mailing address:
  • Phone: 201-218-6225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. OGECHI OKARO
Title or Position: VICE PRESIDENT
Credential: RN
Phone: 201-218-6225