Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1043514458 |
| LBN Legal business name | LEGACY V MEDICAL |
| Authorized official | MARIE MARCOVITCH - (MGR. MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/28/2010 |
| Last updated | 05/05/2011 - About 15 years ago |
| Identifiers | n/a |
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