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NPI Code Detail

MEDICARE: MAVEN MEDICAL, LLC

MEDICARE: MAVEN MEDICAL, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies95109667PA

General Provider Information

NPI Number : 1295090405
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAVEN MEDICAL, LLC
Provider Business Mailing Address
First Line : 433 SEMINOLE ST
Second Line :
City : LESTER
State : PA
Zip : 19029-1825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 SEMINOLE ST
Second Line :
City : LESTER
State : PA
Zip : 19029-1825
Country : US
Telephone Number : 215-499-7594
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : DEBORAH SPINELLI
Credential :
Telephone Number : 215-499-7594
Provider Enumeration Date : 07/13/2012
Last Update Date : 07/13/2012

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Directions to “MAVEN MEDICAL, LLC ” Practice Location

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