Organization Name: | ABBA MEDICAL SUPPLY |
NPI Number: | 1548258858 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA WAGNER (PRESIDENT/OWNER) |
Mailing Address: | 72 Portsmouth Ave Suite 104 Stratham |
State: | NH US |
Postal Code: | 038852566 |
Phone Number: | 6037781698 |
Fax Number: | 6037725885 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 03/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |