NPI | 1073787834 |
---|---|
Doing Business As | FREDERICK MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | JOHN J LETIZIA President 814-472-5591 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2549) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2008-04-14 |
Last Update Date | 2011-07-11 |