WESTERN MARYLAND MEDICAL SUPPLY NPI 1306863360

NPI Information

WESTERN MARYLAND MEDICAL SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in Lavale, MD. WESTERN MARYLAND MEDICAL SUPPLY NPI is 1306863360. The provider is registered as an organization entity type.

The provider's business location address is:

12101 WINCHESTER RD
SUITE 1A
LAVALE, MD
ZIP 21502-688
Phone: (301) 729-4280
Fax: (301) 729-2944

The provider's authorized official is Thomas T Chan .
The authorized official title is Cfo and has the following contact phone number (301) 790-8102.

The CLIA number assigned to this NPI record is 21D2026486 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/16/2006 and was last updated on 3/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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