Provider Demographics
NPI:1629350004
Name:N & G MED SUPPLIES GROUP, INC.
Entity Type:Organization
Organization Name:N & G MED SUPPLIES GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GBEDEMAKOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-769-6943
Mailing Address - Street 1:8208 MANDAN CT
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2106
Mailing Address - Country:US
Mailing Address - Phone:301-769-6943
Mailing Address - Fax:
Practice Address - Street 1:8208 MANDAN CT
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2106
Practice Address - Country:US
Practice Address - Phone:301-769-6943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20770332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies