Provider Demographics
NPI:1982467957
Name:MEDCOMPANION
Entity type:Organization
Organization Name:MEDCOMPANION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODSKY
Authorized Official - Suffix:
Authorized Official - Credentials:CHES
Authorized Official - Phone:760-583-1553
Mailing Address - Street 1:20 TERRY DR UNIT 190
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4908
Mailing Address - Country:US
Mailing Address - Phone:760-583-1553
Mailing Address - Fax:
Practice Address - Street 1:355 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8025
Practice Address - Country:US
Practice Address - Phone:760-583-1553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare