Provider Demographics
NPI:1922364314
Name:ACE MEDICAL EQUIPMENT AND SUPPLIES INC.
Entity Type:Organization
Organization Name:ACE MEDICAL EQUIPMENT AND SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NIAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSOONDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-660-8859
Mailing Address - Street 1:1707 REISTERSTOWN RD STE A
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2947
Mailing Address - Country:US
Mailing Address - Phone:443-660-8859
Mailing Address - Fax:
Practice Address - Street 1:1707 REISTERSTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2947
Practice Address - Country:US
Practice Address - Phone:443-660-8859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3202332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies