Provider Demographics
NPI:1275732265
Name:MEDITECH
Entity Type:Organization
Organization Name:MEDITECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARTZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:443-677-9229
Mailing Address - Street 1:708 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-3965
Mailing Address - Country:US
Mailing Address - Phone:443-677-9229
Mailing Address - Fax:
Practice Address - Street 1:7120 MINSTREL WAY
Practice Address - Street 2:SUITE #106
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5248
Practice Address - Country:US
Practice Address - Phone:410-290-9191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDW11727070332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5966460001Medicare NSC