Provider Demographics
NPI:1124328133
Name:AB MEDICAL SERVICES
Entity type:Organization
Organization Name:AB MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-616-8888
Mailing Address - Street 1:18 CHERRY WOOD COURT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-616-8888
Mailing Address - Fax:856-616-0934
Practice Address - Street 1:18 CHERRY WOOD COURT
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-616-8888
Practice Address - Fax:856-616-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies