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Organization
WESTERN MARYLAND MEDICAL SUPPLY, LLC
Active
Organization
WESTERN MARYLAND MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS T CHAN (CFO)
(301) 790-8102
Entity
Organization
Contact information
Practice address
425 N 3RD ST, SUITE 2A, OAKLAND, MD 21550-1113
(301) 533-4148
Mailing address
12101 WINCHESTER RD, SUITE 1A, LAVALE, MD 21502-7688
(301) 729-4280
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R1119
MD
Other
Enumeration date
09/28/2009
Last updated
03/19/2015
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