Organization
ABT MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA SUSAN COMPTON REGISTEREDNURSE (PRESIDENT)
(619) 306-7676
Entity
Organization
Contact information
Practice address
4915 MERCURY ST, SAN DIEGO, CA 92111-1703
(619) 698-6808
(619) 698-1128
Mailing address
4915 MERCURY ST, SAN DIEGO, CA 92111-1703
(619) 698-6808
(619) 698-1128
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
55641
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
55641
CA
Other
Enumeration date
08/31/2006
Last updated
04/15/2013
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