Organization
A-CLC MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIOLA AKINYEMI (ADMINISTRATOR)
(443) 990-1227
Entity
Organization
Contact information
Practice address
2221 MARYLAND AVE, BALTIMORE, MD 21218-5627
(443) 990-1227
Mailing address
2221 MARYLAND AVE, BALTIMORE, MD 21218-5627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/13/2016
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