| Organization Name: | JEFF QUIP, INC. |
| NPI Number: | 1437176195 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RIICHARD M JACOVINI (VICE PRESIDENT) |
| Mailing Address: | 12 Creek Pkwy Boothwyn |
| State: | PA US |
| Postal Code: | 190613132 |
| Phone Number: | 6105866072 |
| Fax Number: | 6105864742 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 06/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 700003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |