Advance Group L.l.c.
NPI #1699777979 in Pikesville, Maryland
Provider Information
- NPI Number
- 1699777979
- Entity Type
- Organization
- Organization Name
- Advance Group L.l.c.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 1328 REISTERSTOWN RD
- Address 2
- STE C
- City
- Pikesville
- State
- Maryland
- ZIP Code
- 21208-3838
- Phone
- (410) 580-2040
Authorized Official
- Name
- YEDUARD PASTUSHENKO
- Title
- PRESIDENT
- Phone
- (410) 580-2040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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