Organization
PORT MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EKOP IMA GRAHAM (CEO)
(301) 725-9464
Entity
Organization
Contact information
Practice address
14440 CHERRY LANE CT, SUITE 217, LAUREL, MD 20707-4946
(301) 725-9464
(301) 725-9465
Mailing address
14440 CHERRY LANE CT, SUITE 217, LAUREL, MD 20707-4946
(301) 725-9464
(301) 725-9465
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
01/18/2011
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