NPI 1023164860

Van Dyke and Bacon INC.

Organisation Customized Equipment (DME) Baltimore, MD

Practice location

Address: 5919 York Rd Suiteb, Baltimore, MD 21212-3027
Phone: (410) 433-1100
Fax: (410) 435-6934

Authorised official

Name: Martin Joseph Bacon
Title: Vp
Phone: (410) 433-1100

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Maryland →

Registry record

NPI: 1023164860
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.