Provider Demographics
NPI:1821229592
Name:DELMARVA MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:DELMARVA MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:GODLEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RRT
Authorized Official - Phone:302-545-7909
Mailing Address - Street 1:PO BOX 117
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-0117
Mailing Address - Country:US
Mailing Address - Phone:302-378-8895
Mailing Address - Fax:800-507-1350
Practice Address - Street 1:32038 LONG NECK RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6228
Practice Address - Country:US
Practice Address - Phone:877-633-8895
Practice Address - Fax:800-507-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE5622740001Medicare NSC