| NPI | 1548307309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M WANICUR Owner 301-770-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-08-27 |