| |
11801 Rockville Pike Ste 105, Rockville, MD 20852-2714 | |
(301) 881-1639 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 11801 Rockville Pike Ste 105, Rockville, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942582655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 825159, Philadelphia, PA 19182-5159 Ph: (301) 881-1639 | 11801 Rockville Pike Ste 105, Rockville, MD 20852-2714 Ph: (301) 881-1639 |