MEDICARE: G&G HEALTH CARE SERVICES LTD.

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	335E00000X	Prosthetic/Orthotic Supplier
2	332B00000X	Durable Medical Equipment & Medical Supplies	6000005985	PA

General Provider Information

NPI Number	:	1639172950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&G HEALTH CARE SERVICES LTD.

Provider Business Mailing Address
First Line	:	500 E GODFREY AVE
Second Line	:	STE C
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2129
Country	:	US
Telephone Number	:	215-722-1866
Fax Number	:	215-722-1867

Provider Business Practice Location Address
First Line	:	500 E GODFREY AVE
Second Line	:	STE C
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2129
Country	:	US
Telephone Number	:	215-722-1866
Fax Number	:	215-722-1867

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SUBHASH PATEL
Credential	:	R.,PH
Telephone Number	:	215-722-1866

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/11/2008

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