Provider Demographics
NPI:1063710309
Name:NATIONAL ELECTRONICS
Entity type:Organization
Organization Name:NATIONAL ELECTRONICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-559-3004
Mailing Address - Street 1:6305 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1744
Mailing Address - Country:US
Mailing Address - Phone:301-559-3004
Mailing Address - Fax:301-853-1758
Practice Address - Street 1:6747 MID CITIES AVE
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1409
Practice Address - Country:US
Practice Address - Phone:301-559-3004
Practice Address - Fax:301-853-1758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies