Healthcare Provider Details

I. General information

NPI: 1639172950
Provider Name (Legal Business Name): G&G HEALTH CARE SERVICES LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E GODFREY AVE STE C
PHILADELPHIA PA
19120-2129
US

IV. Provider business mailing address

500 E GODFREY AVE STE C
PHILADELPHIA PA
19120-2129
US

V. Phone/Fax

Practice location:
  • Phone: 215-722-1866
  • Fax: 215-722-1867
Mailing address:
  • Phone: 215-722-1866
  • Fax: 215-722-1867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000005985
License Number StatePA

VIII. Authorized Official

Name: MR. SUBHASH PATEL
Title or Position: PRESIDENT
Credential: R.,PH
Phone: 215-722-1866