Healthcare Provider Details

I. General information

NPI: 1932155876
Provider Name (Legal Business Name): ALLCARE MEDICAL PA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 E PENNSYLVANIA BLVD
FEASTERVILLE PA
19053-7848
US

IV. Provider business mailing address

PO BOX 696
OLD BRIDGE NJ
08857-0696
US

V. Phone/Fax

Practice location:
  • Phone: 732-251-8000
  • Fax: 732-238-1556
Mailing address:
  • Phone: 732-251-8000
  • Fax: 732-238-1556

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3000007962
License Number StatePA

VIII. Authorized Official

Name: RICHARD LERNER
Title or Position: PRESIDENT
Credential:
Phone: 732-251-8000