institution
Ulysees Gammage Jr
Customized Equipment (DME) in Philadelphia, Pennsylvania
NPI 1679691711

Ulysees Gammage Jr is a Customized Equipment (DME) based in Philadelphia, PA and is specialized in Customized Equipment. Ulysees Gammage Jr practices in Philadelphia, PA. The NPI Number for Ulysees Gammage Jr is 1679691711 and holds a License No. 6000005706 (Pennsylvania).

The current practice location address for Ulysees Gammage Jr is 6037 Castor Ave, Philadelphia, PA and can be reached out via phone at 215-776-0981 and via fax at 215-224-6611.

Location: 6037 Castor Ave, Philadelphia, PA, 19149-3207
institution
Provider Profile Details
NPI Number
1679691711
Provider Name
Ulysees Gammage Jr
Credential
Provider Entity Type
Organization
Address
6037 Castor Ave, Philadelphia, PA, 19149-3207
Phone Number
215-776-0981
Fax Number
215-224-6611
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005113000 01 PA PERSONAL CHOICE
0005113000 01 PA DURABLE MEDICAL EQUIPTMEN
0005113000 01 PA KEYSTONE EAST
institution
Provider Business Practice Location Address Details
Address
6037 Castor Ave
City
State
Zip
19149-3207
Phone Number
215-776-0981
Fax Number
215-224-6611
person
Provider Business Mailing Address Details
Address
6037 Castor Ave
City
State
Zip
19149-3207
Phone Number
215-776-0981
Fax Number
215-224-6611
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
6000005706 (Pennsylvania)
Definition
Definition to come...
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