Healthcare Provider Details

I. General information

NPI: 1417096850
Provider Name (Legal Business Name): MED SUPPLY CABINET, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COMMERCE DR SUITE 100
MONTGOMERYVILLE PA
18936-9623
US

IV. Provider business mailing address

1300 VIRGNIA DR SUITE 325
FORT WASHINGTON PA
19034-3221
US

V. Phone/Fax

Practice location:
  • Phone: 215-987-3718
  • Fax: 215-393-8676
Mailing address:
  • Phone: 215-987-3718
  • Fax: 215-393-8676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number8000000850
License Number StatePA

VIII. Authorized Official

Name: MR. THOMAS W DORAN
Title or Position: PRESIDENT
Credential:
Phone: 215-987-3718