Organization
COASTLINE MEDICAL LLC
Active
Other names
Coastline Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMMOND (PRES)
(443) 235-4178
Entity
Organization
Contact information
Practice address
123 N MAIN ST UNIT 206, BERLIN, MD 21811-1554
(410) 202-2770
(410) 220-0709
Mailing address
PO BOX 165, BERLIN, MD 21811-0165
(410) 202-2770
(410) 220-0709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76413562
UMR
MD
Enumeration date
10/19/2020
Last updated
09/08/2022
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