Organization Name: | GIANT OF MARYLAND LLC |
NPI Number: | 1023043080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD DAYTON (DIRECTOR) |
Mailing Address: | 625 Hungerford Dr Rockville |
State: | MD US |
Postal Code: | 208501721 |
Phone Number: | 2403145161 |
Fax Number: | 2403145190 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4081710163 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |