MEDICARE: A & A MEDICAL SUPPLY COMPANY

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295738284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & A MEDICAL SUPPLY COMPANY

Provider Business Mailing Address
First Line	:	146 CHARTLEY DR
Second Line	:	STE 100
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2331
Country	:	US
Telephone Number	:	410-526-9323
Fax Number	:	410-526-3375

Provider Business Practice Location Address
First Line	:	146 CHARTLEY DR
Second Line	:	STE 100
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2331
Country	:	US
Telephone Number	:	410-526-9323
Fax Number	:	410-526-3375

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MIKHAIL TRAKHTMAN
Credential	:
Telephone Number	:	410-526-9323

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/31/2011

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