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1223 South 15th Street Corporation

Durable Medical Equipment & Medical Supplies, Customized Equipment in Philadelphia, PA. Organization (NPI-2).

NPI number1396799722
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1396799722
Entity type
Organization (NPI-2)
Legal business name
1223 South 15th Street Corporation
Organization subpart
No
Enumeration date
May 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment6000003764PAYes

Other names

  • Cocco Brothers (Doing Business As)

Practice location

2745 W Passyunk Ave
Philadelphia, PA 19145-4012

Phone 215-334-3816 · Fax 215-334-1998

Mailing address

2745 W Passyunk Ave
Philadelphia, PA 19145-4012

Phone 215-334-3816 · Fax 215-334-1998

Authorized official

Carlo A. Cocco
President
2153343816

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