Organization · Type 2 NPI

ST Monica Manor

Parenteral & Enteral Nutrition Supplies (DME) · Philadelphia, PA

NPI number 1780751123 Active

Practice location

2509 S 4th St
Philadelphia, PA 19148-4712

Fax (215) 368-5254

Specialties and licenses

TaxonomyCodeLicense
Parenteral & Enteral Nutrition Supplies (DME) Primary 332BP3500X232602 (PA)

Parenteral & Enteral Nutrition Supplies (DME): Definition to come...

16 other providers at this address

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About NPI 1780751123

ST Monica Manor's National Provider Identifier is 1780751123, issued on Nov 29, 2006. The primary taxonomy on file is Parenteral & Enteral Nutrition Supplies (DME) (332BP3500X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.