Organization
JESSA MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSE ALIYEV (PRESIDENT)
(301) 990-8706
Entity
Organization
Contact information
Practice address
235 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 990-8706
(240) 631-7113
Mailing address
235 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 990-8706
(240) 631-7113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R1058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009109668
—
VA
05
—
363570800
—
MD
Enumeration date
05/24/2006
Last updated
02/27/2024
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