Ulysees Gammage Jr in Philadelphia - Customized Equipment

Ulysees Gammage Jr - NPI 1679691711

Ulysees Gammage Jr is a Customized Equipment in Philadelphia, Pennsylvania. Ulysees Gammage Jr practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Ulysees Gammage Jr is 1679691711. The last update date is 2008-08-04.

Ulysees Gammage Jr's current location address is 6037 Castor Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157760981 and fax number 2152246611. The mailing address for Ulysees Gammage Jr is 6037 Castor Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ulysees Gammage Jr
Address 6037 Castor Ave, Philadelphia, Pennsylvania
Phone Number 2157760981
Fax Number 2152246611
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Gammage Ulysees
Telephone Number 2157760981

NPI Number Detail

NPI Number 1679691711
Provider Enumeration Date 2007-03-27
Last Updated Date 2008-08-04

Provider Mailing Address Detail

Address 6037 Castor Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191493207
Phone Number 2157760981
Fax Number 2152246611

Provider's Primary Taxonomy Detail

Speciality Customized Equipment
Taxonomy 332Bc3200X
Licence No 6000005706
Definition:
Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5113000 PA PERSONAL CHOICE
5113000 PA DURABLE MEDICAL EQUIPTMEN
5113000 PA KEYSTONE EAST

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FAQs about Ulysees Gammage Jr

What is the Ulysees Gammage Jr's 1679691711?

The Ulysees Gammage Jr's NPI (National Provider Identifier) Number is 1679691711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Ulysees Gammage Jr is geographically located?

The Ulysees Gammage Jr is physically situated at the following location: 6037 Castor Ave, Philadelphia, PA, 191493207.

What is Ulysees Gammage Jr's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ulysees Gammage Jr's specialized field of practice is Customized Equipment, and the corresponding taxonomy code that categorizes this area of specialization is 332Bc3200X.

When did Ulysees Gammage Jr receive its 1679691711 assignment?

The Ulysees Gammage Jr was assigned its 1679691711 on 2007-03-27, which is the date when this unique identifier was issued to the organization.

When was the information regarding Ulysees Gammage Jr most recently updated?

The details pertaining to the Ulysees Gammage Jr, including its address, specialty, and other relevant information, were last refreshed on 2008-08-04.

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