Provider Demographics
NPI:1932769874
Name:MOMMYS BREAST PUMPS
Entity Type:Organization
Organization Name:MOMMYS BREAST PUMPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KABIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-347-0251
Mailing Address - Street 1:51 W END TRL UNIT 395
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-5013
Mailing Address - Country:US
Mailing Address - Phone:484-347-0251
Mailing Address - Fax:
Practice Address - Street 1:1101 HAMILTON BUSINESS CENTRE
Practice Address - Street 2:SUITE 139B
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1043
Practice Address - Country:US
Practice Address - Phone:484-347-0251
Practice Address - Fax:484-674-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies