Organization
JAAK MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZINOVIY FRADLIN (ADMINISTRATOR)
(410) 629-5225
Entity
Organization
Contact information
Practice address
2 RESERVOIR CIR STE 102, PIKESVILLE, MD 21208-1391
(410) 978-8236
(410) 983-3950
Mailing address
2 RESERVOIR CIR STE 102, PIKESVILLE, MD 21208-1391
(410) 978-8236
(410) 983-3950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R4000
MD
Other
Enumeration date
10/05/2016
Last updated
11/24/2023
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