Provider Demographics
NPI:1255663944
Name:BCMM MEDICAL SUPPLIES CORPORATION
Entity Type:Organization
Organization Name:BCMM MEDICAL SUPPLIES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-748-2005
Mailing Address - Street 1:41 WATCHUNG PLZ # 350
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4117
Mailing Address - Country:US
Mailing Address - Phone:973-744-0249
Mailing Address - Fax:973-744-2706
Practice Address - Street 1:41 WATCHUNG PLAZA
Practice Address - Street 2:#350
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042
Practice Address - Country:US
Practice Address - Phone:973-744-0249
Practice Address - Fax:973-744-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies