Provider Demographics
NPI:1821076761
Name:AFFILIATED MEDICAL EQUIPMENT & RESPIRATORY, INC.
Entity Type:Organization
Organization Name:AFFILIATED MEDICAL EQUIPMENT & RESPIRATORY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-736-7028
Mailing Address - Street 1:7806 CRYDEN WAY
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-4522
Mailing Address - Country:US
Mailing Address - Phone:301-736-7028
Mailing Address - Fax:301-735-9439
Practice Address - Street 1:7806 CRYDEN WAY
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-4522
Practice Address - Country:US
Practice Address - Phone:301-736-7028
Practice Address - Fax:301-735-9439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR998332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0621820001Medicare ID - Type Unspecified