Cocco Brothers

LBN: 1223 South 15Th Street Corporation
Cocco Brothers is an health care organization with primary practice located at 2745 W Passyunk Ave , Philadelphia PA 19145-4012. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. 1223 South 15Th Street Corporation can be contacted via phone (215) 334-3816, or through Cocco, Carlo A. via phone (215) 334-3816.

Contact Information

Primary practice address
2745 W Passyunk Ave Philadelphia PA 19145-4012
Phone: (215) 334-3816
Fax: (215) 334-1998
Website:
Map and Directions
Authorized official contact:
Name: Cocco, Carlo A. BCO
Phone: (215) 334-3816

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 6000003764 Pennsylvania

Profile Details

NPI number 1396799722
LBN Legal business name 1223 South 15Th Street Corporation
DBA Doing business as Cocco Brothers
Authorized official Cocco, Carlo A. BCO
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396799722 NPPES
Pennsylvania MEDICAID 39000573532

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