Organization
AMERICOAST MARYLAND LLC
Active
Organization
AMERICOAST MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
20145 ASHBROOK PL STE 165, ASHBURN, VA 20147-3374
(410) 918-0616
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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