Provider Demographics
NPI:1992980205
Name:DAMS MEDICAL SUPPLIES, INC.
Entity type:Organization
Organization Name:DAMS MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DICKSON
Authorized Official - Middle Name:KWAKU
Authorized Official - Last Name:DAMOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-289-5770
Mailing Address - Street 1:1215 LIBERTY AVE STE 17&32
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-2054
Mailing Address - Country:US
Mailing Address - Phone:908-289-5770
Mailing Address - Fax:
Practice Address - Street 1:1215 LIBERTY AVE STE 17&32
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2054
Practice Address - Country:US
Practice Address - Phone:908-289-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400209809332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies