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Organization

ADVANCE HOME OXYGEN & MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD PULLEN (OWNER)
(410) 841-5540
Entity
Organization

Contact information

Practice address
42 HUDSON ST STE 111, ANNAPOLIS, MD 21401-8505
(410) 841-5540
(410) 224-0009
Mailing address
42 HUDSON ST STE 111, ANNAPOLIS, MD 21401-8505
(410) 841-5540
(410) 224-0009

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243208100
MD
01
255762
MAMSI
MD
Enumeration date
11/06/2006
Last updated
07/21/2022
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