Organization
OMEGA MEDICAL SUPPLY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA O NDUBUEZE (MANAGING DIRECTOR)
(301) 728-5198
Entity
Organization
Contact information
Practice address
6215 GREENBELT RD, SUITE 306, BERWYN HEIGHTS, MD 20740-2355
(301) 728-5198
(301) 809-1462
Mailing address
6215 GREENBELT RD, SUITE 306, BERWYN HEIGHTS, MD 20740-2355
(301) 728-5198
(301) 809-1462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2612
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R2612
OFFICE OF HEALTH CARE QUALITY
MD
Enumeration date
10/21/2009
Last updated
10/21/2009
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