MEDICARE: MCGUIRE DURABLE MEDICAL SUPPLIES

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	404036800	MD

General Provider Information

NPI Number	:	1427115567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGUIRE DURABLE MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	3707 GWYNN OAK AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-7634
Country	:	US
Telephone Number	:	410-601-0014
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 GWYNN OAK AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-7634
Country	:	US
Telephone Number	:	410-601-0014
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GLORD M MCGUIRE
Credential	:
Telephone Number	:	410-601-0014

Provider Enumeration Date	:	01/01/2007
Last Update Date	:	03/13/2012

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