Provider Demographics
NPI:1992841845
Name:OXYGEN HEALTHCARE SUPPLY COMPANY, INC
Entity Type:Organization
Organization Name:OXYGEN HEALTHCARE SUPPLY COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUNAWAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHAUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-743-0800
Mailing Address - Street 1:202 RTS 11&15 PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:HUMMELS WHARF
Mailing Address - State:PA
Mailing Address - Zip Code:17831-0391
Mailing Address - Country:US
Mailing Address - Phone:570-743-0800
Mailing Address - Fax:570-743-7113
Practice Address - Street 1:202 RTS 11&15
Practice Address - Street 2:
Practice Address - City:HUMMELS WHARF
Practice Address - State:PA
Practice Address - Zip Code:17831
Practice Address - Country:US
Practice Address - Phone:570-743-0800
Practice Address - Fax:570-743-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies