Organization
ADVANCED DIABETIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PETER SANTULLI (PRESIDENT)
(770) 339-1190
Entity
Organization
Contact information
Practice address
94-050 FARRINGTON HWY, #B1-3, WAIPAHU, HI 96797-1841
(808) 671-8790
Mailing address
4850 SUGARLOAF PKWY, 209-152, LAWRENCEVILLE, GA 30044-2859
(770) 339-1190
(770) 339-1192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/26/2010
Last updated
06/26/2010
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