# MD MART, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497786446
- **Authorized official:** MR. PATRICK COATES (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (408) 960-5409

## Contact information

- **Practice address:** 1630 OAKLAND RD, STE A108, SAN JOSE, CA 95131-2449
- **Practice address phone:** (408) 960-5409
- **Practice address fax:** (408) 453-6461
- **Mailing address:** 1630 OAKLAND RD, STE A108, SAN JOSE, CA 95131-2449
- **Mailing address phone:** (408) 453-6468
- **Mailing address fax:** (408) 453-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 03/14/2011