| NPI | 1932644911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE ANTHONY SAMBATARO Owner 410-964-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MD 07296) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |