Provider Demographics
NPI:1437915667
Name:MODERN MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:MODERN MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-934-7426
Mailing Address - Street 1:2120 BELLEMEAD AVE STE 14-4
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2257
Mailing Address - Country:US
Mailing Address - Phone:610-449-1363
Mailing Address - Fax:610-572-5275
Practice Address - Street 1:2120 BELLEMEAD AVE STE 14-4
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2257
Practice Address - Country:US
Practice Address - Phone:610-449-1363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies