Organization
GOODWILL MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN BROWN (CEO)
(202) 270-3735
Entity
Organization
Contact information
Practice address
9609 WOODYARD CIR, UPPER MARLBORO, MD 20772-4389
(202) 270-3735
(301) 856-2727
Mailing address
1401 MERCHANTILE LN, LARGO, MD 20774
(202) 270-3735
(301) 856-2727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/13/2007
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