| Organization Name: | TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC |
| NPI Number: | 1134303902 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MICHAEL GVODAS (OWNER) |
| Mailing Address: | 122 Mill Rd Suite A130 Phoenixville |
| State: | PA US |
| Postal Code: | 194601413 |
| Phone Number: | 6106306357 |
| Fax Number: | 6106308319 |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |