institution
1223 South 15th Street Corporation
Customized Equipment (DME) in Philadelphia, Pennsylvania
NPI 1396799722

1223 South 15th Street Corporation is a Customized Equipment (DME) based in Philadelphia, PA and is specialized in Customized Equipment. 1223 South 15th Street Corporation practices in Philadelphia, PA. The NPI Number for 1223 South 15th Street Corporation is 1396799722 and holds a License No. 6000003764 (Pennsylvania).

The current practice location address for 1223 South 15th Street Corporation is 2745 W Passyunk Ave, Philadelphia, PA and can be reached out via phone at 215-334-3816 and via fax at 215-334-1998. You can also correspond with 1223 South 15th Street Corporation through the mailing address at 2745 W PASSYUNK AVE, PHILADELPHIA, PA - 19145-4012 (mailing address contact number: 215-334-3816).

Location: 2745 W Passyunk Ave, Philadelphia, PA, 19145-4012
institution
Provider Profile Details
NPI Number
1396799722
Provider Name
1223 South 15th Street Corporation
Credential
Provider Entity Type
Organization
Address
2745 W Passyunk Ave, Philadelphia, PA, 19145-4012
Phone Number
215-334-3816
Fax Number
215-334-1998
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39000573532 05 PA
institution
Provider Business Practice Location Address Details
Address
2745 W Passyunk Ave
City
State
Zip
19145-4012
Phone Number
215-334-3816
Fax Number
215-334-1998
person
Provider Business Mailing Address Details
Address
2745 W Passyunk Ave
City
State
Zip
19145-4012
Phone Number
215-334-3816
Fax Number
215-334-1998
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
6000003764 (Pennsylvania)
Definition
Definition to come...
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