Organization
ELITE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED JAWARA (PRESIDENT)
(301) 404-4898
Entity
Organization
Contact information
Practice address
21 CASINO CT, SILVER SPRING, MD 20906-5953
(301) 404-4898
Mailing address
21 CASINO CT, SILVER SPRING, MD 20906-5953
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359131P0000
—
MD
Enumeration date
09/09/2010
Last updated
09/09/2010
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