Organization
MADICA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GIACOMO (OWNER/OPERATOR)
(505) 259-3073
Entity
Organization
Contact information
Practice address
9421 GLENDALE AVE NE, ALBUQUERQUE, NM 87122-3964
(505) 259-3073
Mailing address
9421 GLENDALE AVE NE, ALBUQUERQUE, NM 87122-3964
(505) 259-3073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2011
Last updated
03/17/2011
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