Individual
ANTHONY B GOODESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8815 MAPLE LAWN BLVD, SUITE 350, FULTON, MD 20759-2683
(888) 886-1167
Mailing address
8815 MAPLE LAWN BLVD, SUITE 350, FULTON, MD 20759-2683
(888) 886-1167
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R4213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346888666
DME
MD
Enumeration date
02/05/2020
Last updated
02/05/2020
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