Provider Demographics
NPI:1902839558
Name:P M MEDICAL PRODUCTS LTD
Entity Type:Organization
Organization Name:P M MEDICAL PRODUCTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:BURRRITT
Authorized Official - Last Name:MAILLOUX
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:570-445-9214
Mailing Address - Street 1:1275 SANS SOUCI PKWY
Mailing Address - Street 2:
Mailing Address - City:HANOVER TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-5229
Mailing Address - Country:US
Mailing Address - Phone:570-445-9214
Mailing Address - Fax:570-550-9907
Practice Address - Street 1:1275 SANS SOUCI PKWY
Practice Address - Street 2:
Practice Address - City:HANOVER TWP
Practice Address - State:PA
Practice Address - Zip Code:18706-5229
Practice Address - Country:US
Practice Address - Phone:570-445-9214
Practice Address - Fax:570-550-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies