Organization
MD MART, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK COATES (OWNER/VICE PRESIDENT)
(408) 960-5409
Entity
Organization
Contact information
Practice address
1630 OAKLAND RD, STE A108, SAN JOSE, CA 95131-2449
(408) 960-5409
(408) 453-6461
Mailing address
1630 OAKLAND RD, STE A108, SAN JOSE, CA 95131-2449
(408) 453-6468
(408) 453-6461
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03435F
—
CA
Enumeration date
07/06/2006
Last updated
03/14/2011
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