MEDICARE: MARKELL CONSTRUCTION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1003507310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARKELL CONSTRUCTION

Provider Business Mailing Address
First Line	:	5932 OGONTZ AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-1352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5932 OGONTZ AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-1352
Country	:	US
Telephone Number	:	267-446-4319
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL DAVIS
Credential	:
Telephone Number	:	267-446-4319

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	05/17/2023

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Directions to “MARKELL CONSTRUCTION ” Practice Location

Language	Start Address	Practice Location

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