Provider Demographics
NPI:1831358613
Name:FALCON MEDICAL SUPPLY LTD
Entity type:Organization
Organization Name:FALCON MEDICAL SUPPLY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:VASIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:440-995-1766
Mailing Address - Street 1:18015 LOST TRL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-5839
Mailing Address - Country:US
Mailing Address - Phone:440-995-1766
Mailing Address - Fax:440-995-0222
Practice Address - Street 1:18015 LOST TRL
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5839
Practice Address - Country:US
Practice Address - Phone:440-995-1766
Practice Address - Fax:440-995-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies