Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1699147546 |
| LBN Legal business name | ADVENTURE MEDICAL SUPPLY LLC |
| Authorized official | ASHER MITTELDORF - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/30/2015 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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