Provider Demographics
NPI:1285097600
Name:PHILLY DURABLE MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:PHILLY DURABLE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTRANTI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:917-349-6957
Mailing Address - Street 1:19B RIVERHILL
Mailing Address - Street 2:VILLAGE 2
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1262
Mailing Address - Country:US
Mailing Address - Phone:917-349-6957
Mailing Address - Fax:
Practice Address - Street 1:19B RIVERHILL
Practice Address - Street 2:VILLAGE 2
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1262
Practice Address - Country:US
Practice Address - Phone:917-349-6957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-02
Last Update Date:2016-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000008882332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies