Organization
ALLIED MEDICAL SUPPLY
Active
Organization
ALLIED MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MADUAKOR (ADMINISTRATOR)
(571) 575-3795
Entity
Organization
Contact information
Practice address
5565 RIVERTON CT, WOODBRIDGE, VA 22193-3706
(571) 575-3795
Mailing address
5565 RIVERTON CT, WOODBRIDGE, VA 22193-3706
(571) 575-3795
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S6636593
VA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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