Organization · Type 2 NPI

Professional Healthcare Group

Durable Medical Equipment & Medical Supplies · Woodbridge, VA

NPI number 1689629255 Active

Practice location

5504 Staples Mill Plz
Woodbridge, VA 22193-3247

Call (703) 580-7192 Map

Fax (703) 580-7183

Mailing address

PO Box 6400
Woodbridge, VA 22195-6400

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory 291U00000X49D1010340 (VA)
Durable Medical Equipment & Medical Supplies Primary 332B00000X0206009192 (VA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1689629255

Professional Healthcare Group's National Provider Identifier is 1689629255, issued on May 23, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Woodbridge, VA. The record was last updated on Oct 3, 2008.