Organization
EXTRA MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC CHIMEZIE AMAECCHI RRT, CPFT,JD (ADMINISTRATOR)
(410) 937-6900
Entity
Organization
Contact information
Practice address
7437 GUM SPRING RD # B, ROSEDALE, MD 21237-3704
(410) 937-6900
(301) 422-2993
Mailing address
7437 GUM SPRING RD # B, ROSEDALE, MD 21237-3704
(410) 937-6900
(301) 422-2993
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
R2264
MD
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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