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Organization
ITC MEDICAL SUPPLIES INC
Active
Organization
ITC MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAINA KAUTSKY (VICE PRESIDENT)
(415) 387-7100
Entity
Organization
Contact information
Practice address
1635 DIVISADERO ST, SUITE 105, SAN FRANCISCO, CA 94115-3036
(415) 346-7100
(415) 346-7177
Mailing address
1635 DIVISADERO ST, SUITE 105, SAN FRANCISCO, CA 94115-3036
(415) 346-7100
(415) 346-7177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
10/19/2013
Last updated
10/19/2013
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