Organization
PRIME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BON ANELE AGOHA (ADMINISTRATOR)
(410) 480-9007
Entity
Organization
Contact information
Practice address
8659 BALTIMORE NATIONAL PIKE, SUITE Q, ELLICOTT CITY, MD 21043-4126
(410) 480-9007
(410) 480-9910
Mailing address
8659 BALTIMORE NATIONAL PIKE, SUITE Q, ELLICOTT CITY, MD 21043-4126
(410) 480-9007
(410) 480-9910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2425
MD
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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