Organization
CIP MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KASOZI (ADMINITRATOR)
(240) 263-5951
Entity
Organization
Contact information
Practice address
604 S FREDERICK AVE STE 215, GAITHERSBURG, MD 20877-1282
(240) 263-5951
Mailing address
604 S FREDERICK AVE STE 215, GAITHERSBURG, MD 20877-1282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15156706
MD
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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