Healthcare Provider Details

I. General information

NPI: 1831544105
Provider Name (Legal Business Name): BUXMONT DURABLE MEDICAL EQUIPMENT SUPPLIES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 BETHLEHEM PIKE SUIT 4
MONTGOMERYVILLE PA
18936-9711
US

IV. Provider business mailing address

668 BETHLEHEM PIKE SUIT 4
MONTGOMERYVILLE PA
18936-9711
US

V. Phone/Fax

Practice location:
  • Phone: 215-361-4423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANDRA PIERSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 215-361-4423