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NPI Code Detail

MEDICARE: ALLIED MEDICAL SUPPLIES, LLC

MEDICARE: ALLIED MEDICAL SUPPLIES, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies20185-001MP

General Provider Information

NPI Number : 1336412824
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED MEDICAL SUPPLIES, LLC
Provider Business Mailing Address
First Line : PO BOX 10003
Second Line :
City : SAIPAN
State : MP
Zip : 96950-8903
Country : US
Telephone Number : 670-233-4646
Fax Number : 670-233-4648
Provider Business Practice Location Address
First Line : STE 203 GHIYEGHI ST.
Second Line : SAN JOSE
City : SAIPAN
State : MP
Zip : 96950-8903
Country : US
Telephone Number : 670-233-4646
Fax Number : 670-233-4648
Authorized Official
Title or Position : PRESIDENT
Name : GEORGE J. CRUZ
Credential :
Telephone Number : 670-233-4646
Provider Enumeration Date : 02/15/2012
Last Update Date : 02/15/2012

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Directions to “ALLIED MEDICAL SUPPLIES, LLC ” Practice Location

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