Basic Information
| Provider Information | |||||||||
| NPI: | 1417449588 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ALLSTATE MEDICAL PRODUCTS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 E HECTOR ST STE 390A | ||||||||
| Address2: | |||||||||
| City: | CONSHOHOCKEN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194282390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2672052527 | ||||||||
| FaxNumber: | 4842127641 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 E HECTOR ST STE 390A | ||||||||
| Address2: | |||||||||
| City: | CONSHOHOCKEN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194282390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2672052527 | ||||||||
| FaxNumber: | 4842127641 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2018 | ||||||||
| LastUpdateDate: | 06/04/2018 | ||||||||
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| AuthorizedOfficialLastName: | FAIA | ||||||||
| AuthorizedOfficialFirstName: | BERNARD | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 6720525272 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.