Provider Demographics
NPI:1154660835
Name:M A DIGIULIO LLC
Entity Type:Organization
Organization Name:M A DIGIULIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:DIGIULIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-428-2201
Mailing Address - Street 1:1410 KINGS HWY N
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2305
Mailing Address - Country:US
Mailing Address - Phone:856-482-2201
Mailing Address - Fax:856-428-2241
Practice Address - Street 1:1410 KINGS HWY N
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2305
Practice Address - Country:US
Practice Address - Phone:856-482-2201
Practice Address - Fax:856-428-2241
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M A DIGIULIO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-31
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6720370001Medicare NSC