Provider Demographics
NPI:1235157298
Name:ANGELINA UDO-INYANG
Entity Type:Organization
Organization Name:ANGELINA UDO-INYANG
Other - Org Name:ATONS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:ALTHEA
Authorized Official - Last Name:UDO-INYANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-622-7707
Mailing Address - Street 1:19 N LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2205
Mailing Address - Country:US
Mailing Address - Phone:610-622-7707
Mailing Address - Fax:
Practice Address - Street 1:19 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2205
Practice Address - Country:US
Practice Address - Phone:610-622-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4751450001Medicare NSC