MEDICARE: MAJORS MEDICAL SUPPLY

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	R2295	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54402602	OTHER	MD	BCBS PROVIDER #

General Provider Information

NPI Number	:	1326092933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJORS MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	2622 LORD BALTIMORE DR
Second Line	:	STE F
City	:	BALTIMORE
State	:	MD
Zip	:	21244-2639
Country	:	US
Telephone Number	:	410-944-0900
Fax Number	:	410-944-5468

Provider Business Practice Location Address
First Line	:	2622 LORD BALTIMORE DR
Second Line	:	STE F
City	:	BALTIMORE
State	:	MD
Zip	:	21244-2639
Country	:	US
Telephone Number	:	410-944-0900
Fax Number	:	410-944-5468

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARJORIE AGNES BLACKBURN
Credential	:	N/A
Telephone Number	:	410-944-0600

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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