Provider Demographics
NPI:1982853693
Name:ADVANCED MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCCHICCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-245-0588
Mailing Address - Street 1:PO BOX 3163
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-3163
Mailing Address - Country:US
Mailing Address - Phone:888-245-0588
Mailing Address - Fax:732-879-0384
Practice Address - Street 1:2909 WASHINGTON RD
Practice Address - Street 2:SUITE 175
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1513
Practice Address - Country:US
Practice Address - Phone:888-245-0588
Practice Address - Fax:732-879-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment