MEDICARE: THE TRAINING ROOM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	15261587	MD

General Provider Information

NPI Number	:	1013186741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TRAINING ROOM INC

Provider Business Mailing Address
First Line	:	PO BOX 611
Second Line	:
City	:	HAMPSTEAD
State	:	MD
Zip	:	21074-0611
Country	:	US
Telephone Number	:	800-500-1878
Fax Number	:	410-374-5000

Provider Business Practice Location Address
First Line	:	13245 EXECUTIVE PARK TER
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2648
Country	:	US
Telephone Number	:	800-500-1878
Fax Number	:	410-374-5000

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM A BOLESTA
Credential	:	BOC ATC
Telephone Number	:	800-500-1878

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	02/27/2008

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