Provider Demographics
NPI:1528663259
Name:MD CONSULTING GROUP
Entity type:Organization
Organization Name:MD CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALADIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-790-3875
Mailing Address - Street 1:701 ANN ST UNIT 1133
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-6050
Mailing Address - Country:US
Mailing Address - Phone:516-790-3875
Mailing Address - Fax:
Practice Address - Street 1:5595 OLDE MILL RUN
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-7482
Practice Address - Country:US
Practice Address - Phone:516-790-3875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7162568OtherCERTIFICATE OF LLC STATE OF PA