Organization
RESURGENT MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRADY BOLESTA (CFO)
(888) 314-6307
Entity
Organization
Contact information
Practice address
626 HANOVER PIKE, 2ND FLOOR, HAMPSTEAD, MD 21074-2032
(888) 314-6307
(877) 364-4421
Mailing address
PO BOX 634, HAMPSTEAD, MD 21074-0634
(888) 314-6307
(877) 364-4421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06379827
MD
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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