MEDICARE: AMERICA MEDICAL EQUIPMENT SUPPLY, INC.

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	16880105	MD

General Provider Information

NPI Number	:	1881640811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA MEDICAL EQUIPMENT SUPPLY, INC.

Provider Business Mailing Address
First Line	:	4404 QUEENSBURY RD
Second Line	:	SUITE 110-B
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1068
Country	:	US
Telephone Number	:	301-277-5002
Fax Number	:

Provider Business Practice Location Address
First Line	:	4404 QUEENSBURY RD
Second Line	:	SUITE 110-B
City	:	RIVERDALE
State	:	MD
Zip	:	20737-1068
Country	:	US
Telephone Number	:	301-277-5002
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ERNEST CHIDI EZUMA
Credential	:
Telephone Number	:	301-277-5002

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/18/2008

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