Healthcare Provider Details

I. General information

NPI: 1629247234
Provider Name (Legal Business Name): WILLIAM J CURRAN JR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 GARRETT RD
DREXEL HILL PA
19026-2216
US

IV. Provider business mailing address

3025 GARRETT RD
DREXEL HILL PA
19026-2216
US

V. Phone/Fax

Practice location:
  • Phone: 610-623-4129
  • Fax: 610-623-1664
Mailing address:
  • Phone: 610-623-4129
  • Fax: 610-623-1664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberN/A
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierCU281862
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE CROSS

VIII. Authorized Official

Name: MR. WILLIAM J CURRAN JR.
Title or Position: OWNER
Credential:
Phone: 610-623-4129