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Organization

SPECTRUM MEDICAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN ACKERMAN (CEO)
(301) 587-2992
Entity
Organization

Contact information

Practice address
8431 HILLTOP RD, FAIRFAX, VA 22031-4301
(301) 587-2992
(301) 587-0316
Mailing address
8431 HILLTOP RD, FAIRFAX, VA 22031-4301
(301) 587-2992
(301) 587-0316

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R1112
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
461868800
MD
Enumeration date
01/16/2007
Last updated
08/30/2023
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