Healthcare Provider Details

I. General information

NPI: 1588739213
Provider Name (Legal Business Name): ATLANTIC BAROMEDICAL SYSTEMS,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 06/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WALKER LN STE 510
ALEXANDRIA VA
22310-3251
US

IV. Provider business mailing address

PO BOX 8310
ROANOKE VA
24014-0310
US

V. Phone/Fax

Practice location:
  • Phone: 703-664-7218
  • Fax: 703-664-7317
Mailing address:
  • Phone: 540-345-3556
  • Fax: 540-342-2193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC DESMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 703-664-7218