Providence Pt & Dme

NPI #1700077377 in Riverdale, Maryland

Provider Information

NPI Number
1700077377
Entity Type
Organization
Organization Name
Providence Pt & Dme
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 7, 2007
Last Updated
Aug 7, 2007

Practice Location

Address
5810 RIVERDALE RD
ZIP Code
20737-2142
Phone
(301) 277-4337

Authorized Official

Name
MR. GUILLAUME SERY KABERT
Title
CEO, PRESIDENT
Phone
(301) 277-4337

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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