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Golden Brace Medical Supplied Ltd

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

NPI number1629831722
StatusActive
Last updated in NPPESFeb 1, 2024

Details

NPI
1629831722
Entity type
Organization (NPI-2)
Legal business name
Golden Brace Medical Supplied Ltd
Organization subpart
No
Enumeration date
Feb 1, 2024
Certification date
Feb 1, 2024
Last updated
Feb 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition––

Practice location

5922 N Broad St
Philadelphia, PA 19141-1851

Phone 267-368-1011

Mailing address

2210 Michener St
Philadelphia, PA 19115-4320

Authorized official

Keith George
Ceo
2673681011

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