Organization Name: | MEDX ACQUISITION CORPORATION |
NPI Number: | 1043464811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH W DESTEFANO (PRESIDENT & CEO) |
Mailing Address: | 279 Great Valley Pkwy Malvern |
State: | PA US |
Postal Code: | 193551308 |
Phone Number: | 6109711900 |
Fax Number: | 6109712200 |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 08/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |