Organization
MEDICARE MAGICIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MAZZA (PORINCIPAL)
(202) 415-2935
Entity
Organization
Contact information
Practice address
3112 LEGATION ST NW, WASHINGTON, DC 20015-1348
(202) 415-2935
(202) 351-0526
Mailing address
3112 LEGATION ST NW, WASHINGTON, DC 20015-1348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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