Organization
OCTAGON MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ABRAHAM (ADMINISTRATOR)
(248) 423-9886
Entity
Organization
Contact information
Practice address
17700 NORTHLAND PARK CT, SUITE 16, SOUTHFIELD, MI 48075-4302
(248) 423-9886
(248) 423-4570
Mailing address
17700 NORTHLAND PARK CT, SUITE 16, SOUTHFIELD, MI 48075-4302
(248) 423-9886
(248) 423-4570
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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