Organization
MAROSA SURGICAL INDUSTRIES INC
Active
Other names
Avenue Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM BENNETT SAMUEL CRTS, ATS (PRESIDENT)
(302) 674-0907
Entity
Organization
Contact information
Practice address
1277 S GOVERNORS AVE, DOVER, DE 19904-4801
(302) 674-0907
Mailing address
1277 S GOVERNORS AVE, DOVER, DE 19904-4801
(302) 674-0907
(302) 674-1421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000062816
—
DE
Enumeration date
06/30/2005
Last updated
07/13/2007
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