Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1639709538 |
| LBN Legal business name | MED STAR SURGICAL & BREATHING EQUIPMENT, INC. |
| Authorized official | WENDY RUSSALESI - (CHIEF COMPLIANCE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/19/2020 |
| Last updated | 05/05/2025 - More than a year ago |
| Identifiers | n/a |
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