Healthcare Provider Details

I. General information

NPI: 1609942523
Provider Name (Legal Business Name): WEBB MEDICAL SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 04/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6A PARKSIDE AVE
SHILLINGTON PA
19607-1124
US

IV. Provider business mailing address

6A PARKSIDE AVE
SHILLINGTON PA
19607-1124
US

V. Phone/Fax

Practice location:
  • Phone: 610-777-2273
  • Fax: 610-777-4329
Mailing address:
  • Phone: 610-777-2273
  • Fax: 610-777-4329

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA A LIZAK
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 610-440-0265