Provider Demographics
NPI:1538481635
Name:EQUIPSOURCE
Entity Type:Organization
Organization Name:EQUIPSOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-377-6011
Mailing Address - Street 1:1302 EASTON ROAD
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3925
Mailing Address - Country:US
Mailing Address - Phone:800-834-7157
Mailing Address - Fax:855-538-7157
Practice Address - Street 1:1302 EASTON ROAD
Practice Address - Street 2:SUITE 1005
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001
Practice Address - Country:US
Practice Address - Phone:800-834-7157
Practice Address - Fax:855-538-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies