Basic Information
| Provider Information | |||||||||
| NPI: | 1821076761 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AFFILIATED MEDICAL EQUIPMENT & RESPIRATORY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7806 CRYDEN WAY | ||||||||
| Address2: | |||||||||
| City: | FORESTVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207474522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017367028 | ||||||||
| FaxNumber: | 3017359439 | ||||||||
| Practice Location | |||||||||
| Address1: | 7806 CRYDEN WAY | ||||||||
| Address2: | |||||||||
| City: | FORESTVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207474522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017367028 | ||||||||
| FaxNumber: | 3017359439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/31/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WOODARD | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | EARL | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3017367028 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BX2000X | R998 | MD | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |
No ID Information.