MEDICARE: MEDICAL SUPPLY INC

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	600004945	PA

General Provider Information

NPI Number	:	1972693968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	10 POULSON AVE
Second Line	:
City	:	ESSINGTON
State	:	PA
Zip	:	19029-1515
Country	:	US
Telephone Number	:	610-521-7402
Fax Number	:	610-521-7402

Provider Business Practice Location Address
First Line	:	10 POULSON AVE
Second Line	:
City	:	ESSINGTON
State	:	PA
Zip	:	19029-1515
Country	:	US
Telephone Number	:	610-521-7402
Fax Number	:	610-521-7402

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. CATHERINE ANN KENNEDY
Credential	:
Telephone Number	:	610-521-7402

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	09/05/2008

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Directions to “MEDICAL SUPPLY INC ” Practice Location

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