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St Monica Manor — NPI 1780751123, Philadelphia, PA | NPI Central

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NPI 1780751123

OrganizationActive

St Monica Manor

NPI 1780751123 · Parenteral & Enteral Nutrition Supplies (DME) · Philadelphia, PA

Provider details

NPI number: 1780751123
Entity type: Organization
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Authorized official: Michael Czekner, Chief Financial Officer
License: 232602 (PA)

Practice location

2509 S 4th St

Philadelphia, PA 19148-4712

Phone: (215) 271-1080

Fax: (215) 368-5254

More PA providers

Mailing address

2509 S 4th St

Philadelphia, PA 19148-4712

Registry dates

Enumerated: 2006-11-29
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.