Organization Name: | WILLOW MEDICAL OF MARYLAND INC. |
NPI Number: | 1316902075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH THOMAS PRICE (PRESIDENT/OWNER) |
Mailing Address: | 768 N Bethlehem Pike Ste 107 Lower Gwynedd |
State: | PA US |
Postal Code: | 190022657 |
Phone Number: | 2155421212 |
Fax Number: | 2156282414 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |