Organization
DIS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES UMOH (MANAGING EMPLOYEE)
(301) 317-3664
Entity
Organization
Contact information
Practice address
8730 CHERRY LN, SUITE A-2, LAUREL, MD 20707-6212
(301) 317-3664
(301) 317-5099
Mailing address
8730 CHERRY LN, SUITE A-2, LAUREL, MD 20707-6212
(301) 317-3664
(301) 317-5099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008869
—
MD
05
—
430495185A
—
GA
Enumeration date
04/14/2006
Last updated
07/07/2009
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