MEDICARE: WOODMAX TRADERS 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
1	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1497267496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODMAX TRADERS LLC

Provider Business Mailing Address
First Line	:	2602 COLUMBIA PIKE STE B
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 COLUMBIA PIKE STE B
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4449
Country	:	US
Telephone Number	:	703-944-9954
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	AIMAN SAFDAR
Credential	:
Telephone Number	:	703-944-9954

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	10/30/2017

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