Provider Demographics
NPI:1487723433
Name:MARX MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:MARX MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:APOSTOLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTSASPYROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-426-9242
Mailing Address - Street 1:2814 E ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-5908
Mailing Address - Country:US
Mailing Address - Phone:215-426-9242
Mailing Address - Fax:215-426-5854
Practice Address - Street 1:2814 E ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-5908
Practice Address - Country:US
Practice Address - Phone:215-426-9242
Practice Address - Fax:215-426-5854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA112214332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000580241Medicaid
PA08025OtherHEALTHPARTNERS
PA1069672OtherKEYSTONE MERCY
PA0075788170003Medicaid
PA0057307801OtherAMERICHOICE