Healthcare Provider Details

I. General information

NPI: 1952565095
Provider Name (Legal Business Name): MEDICAL COMMUNICATION TECHNOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 STAR CT
VIRGINIA BEACH VA
23456-1311
US

IV. Provider business mailing address

1720 STAR CT
VIRGINIA BEACH VA
23456-1311
US

V. Phone/Fax

Practice location:
  • Phone: 757-471-6724
  • Fax: 757-471-6724
Mailing address:
  • Phone: 757-471-6724
  • Fax: 757-471-6724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. MILUSKA I. UGARTE
Title or Position: OWNER
Credential:
Phone: 757-471-6724