| NPI | 1518964956 |
|---|---|
| Doing Business As | AVENUE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ADAM BENNETT SAMUEL President 302-674-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-13 |