Provider Demographics
NPI:1669845608
Name:COMPREHENSIVE MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:267-639-2555
Mailing Address - Street 1:PO BOX 862
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-0862
Mailing Address - Country:US
Mailing Address - Phone:267-639-2555
Mailing Address - Fax:267-328-6220
Practice Address - Street 1:1413 W MOYAMENSING AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4625
Practice Address - Country:US
Practice Address - Phone:267-639-2555
Practice Address - Fax:267-328-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies