Healthcare Provider Details

I. General information

NPI: 1366681470
Provider Name (Legal Business Name): BEST MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13023 BUSTLETON AVE
PHILADELPHIA PA
19116-1672
US

IV. Provider business mailing address

13023 BUSTLETON AVENUE BEST MEDICAL SUPPLY, INC.
PHILADELPHIA PA
19116-1672
US

V. Phone/Fax

Practice location:
  • Phone: 215-904-7815
  • Fax: 215-904-7817
Mailing address:
  • Phone: 215-904-7815
  • Fax: 215-904-7817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number466083
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number466083
License Number StatePA

VIII. Authorized Official

Name: LALA ZADE
Title or Position: PRESIDENT
Credential:
Phone: 215-904-7815