DELMARVA DIABETIC SUPPLY LLC NPI 1780096123

NPI Information

  • NPI: 1780096123
  • Provider Name: DELMARVA DIABETIC SUPPLY LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 9928 OLD OCEAN CITY BLVD STE 9
    BERLIN, MD
    ZIP 21811
  • Phone: (410) 641-1811

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NPI Details

DELMARVA DIABETIC SUPPLY LLC is a durable medical equipment medical supplies in Berlin, MD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DELMARVA DIABETIC SUPPLY LLC NPI is 1780096123. The provider is registered as an organization entity type.

The provider's business location address is:

9928 OLD OCEAN CITY BLVD STE 9
BERLIN, MD
ZIP 21811-170
Phone: (410) 641-1811
Fax: (410) 641-1170

The provider's authorized official is Mark Hammond .
The authorized official title is President and has the following contact phone number (410) 641-1811.

The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies23886226MARYLANDYes

What is NPI?

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This page was last updated on: 3/30/2025

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