Provider Demographics
NPI:1225159700
Name:AGL WELDING SUPPLY CO
Entity Type:Organization
Organization Name:AGL WELDING SUPPLY CO
Other - Org Name:AGL INHALATION THERAPY CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FENELON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-478-5100
Mailing Address - Street 1:600 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1503
Mailing Address - Country:US
Mailing Address - Phone:973-478-5100
Mailing Address - Fax:
Practice Address - Street 1:600 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1503
Practice Address - Country:US
Practice Address - Phone:973-478-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0489160001Medicare NSC