Organization
SVYATOSLAV SHPARAGA
Active
Other names
S and S Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SVYATOSLAV SHPARAGA (OWNER)
(917) 361-7545
Entity
Organization
Contact information
Practice address
6821 REISTERSTOWN RD, 204, BALTIMORE, MD 21215-1431
(410) 358-4415
(410) 358-4417
Mailing address
1622 NICODEMUS RD, REISTERSTOWN, MD 21136-5831
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408043200
—
MD
Enumeration date
03/20/2007
Last updated
01/05/2012
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