Organization
STAR MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONID SHAYAYEV (PRESIDENT)
(410) 276-3100
Entity
Organization
Contact information
Practice address
3502 EASTERN AVE, BALTIMORE, MD 21224-4123
(410) 276-3100
(410) 843-3000
Mailing address
3502 EASTERN AVE, BALTIMORE, MD 21224-4123
(410) 276-3100
(410) 843-3000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402967400
—
MD
Enumeration date
07/06/2006
Last updated
10/02/2008
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