Healthcare Provider Details

I. General information

NPI: 1811828478
Provider Name (Legal Business Name): SEROKA MEDICAL SUPPORT CENTER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 DUMBARTON DR
HAGERSTOWN MD
21740-1692
US

IV. Provider business mailing address

9715 DUMBARTON DR # A
HAGERSTOWN MD
21740-1692
US

V. Phone/Fax

Practice location:
  • Phone: 240-938-6365
  • Fax: 240-938-6365
Mailing address:
  • Phone: 240-938-6365
  • Fax: 240-938-6365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ROBERT K SENTEZA
Title or Position: PRESIDENT
Credential: SENTEZA
Phone: 240-938-6365