Provider Demographics
NPI:1417449588
Name:ALLSTATE MEDICAL PRODUCTS, LLC
Entity Type:Organization
Organization Name:ALLSTATE MEDICAL PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:672-052-5272
Mailing Address - Street 1:1100 E HECTOR ST STE 390A
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2390
Mailing Address - Country:US
Mailing Address - Phone:267-205-2527
Mailing Address - Fax:484-212-7641
Practice Address - Street 1:1100 E HECTOR ST STE 390A
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2390
Practice Address - Country:US
Practice Address - Phone:267-205-2527
Practice Address - Fax:484-212-7641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies