Provider Demographics
NPI:1225262827
Name:ADVANCED MEDICAL SYSTEMS
Entity Type:Organization
Organization Name:ADVANCED MEDICAL SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OSSAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAWHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-980-9204
Mailing Address - Street 1:1080 WISCONSIN AVE NW
Mailing Address - Street 2:APT 506 EAST
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3637
Mailing Address - Country:US
Mailing Address - Phone:703-980-9204
Mailing Address - Fax:
Practice Address - Street 1:1080 WISCONSIN AVE NW
Practice Address - Street 2:APT 506 EAST
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3637
Practice Address - Country:US
Practice Address - Phone:703-980-9204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies