Provider Demographics
NPI:1790025690
Name:A & M MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:A & M MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNAMARIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:VALERIOTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-584-0121
Mailing Address - Street 1:126 ALTIMARI CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-6000
Mailing Address - Country:US
Mailing Address - Phone:215-584-0121
Mailing Address - Fax:
Practice Address - Street 1:126 ALTIMARI CT
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-6000
Practice Address - Country:US
Practice Address - Phone:215-584-0121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies