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NPI Code Detail

MEDICARE: EXPRESS MEDICAL SUPPLY LLC

MEDICARE: EXPRESS MEDICAL SUPPLY 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 Supplies

General Provider Information

NPI Number : 1467699074
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPRESS MEDICAL SUPPLY LLC
Provider Business Mailing Address
First Line : 123 TOWN SQUARE PL
Second Line : 698
City : JERSEY CITY
State : NJ
Zip : 07310-1756
Country : US
Telephone Number : 201-988-2907
Fax Number : 718-355-9661
Provider Business Practice Location Address
First Line : 123 TOWN SQUARE PL
Second Line : 698
City : JERSEY CITY
State : NJ
Zip : 07310-1756
Country : US
Telephone Number : 201-988-2907
Fax Number : 718-355-9661
Authorized Official
Title or Position : MANAGING PARTNER
Name : ADELE INOKON
Credential :
Telephone Number : 201-988-2907
Provider Enumeration Date : 01/20/2009
Last Update Date : 06/04/2012

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Directions to “EXPRESS MEDICAL SUPPLY LLC ” Practice Location

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