Provider Demographics
NPI:1750611695
Name:CJ MEDICAL SUPPLIES AND EQUIPMENT INC
Entity type:Organization
Organization Name:CJ MEDICAL SUPPLIES AND EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORFAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-558-0278
Mailing Address - Street 1:12801 GESSFORD CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-6331
Mailing Address - Country:US
Mailing Address - Phone:202-588-0278
Mailing Address - Fax:202-350-9000
Practice Address - Street 1:4920 NIAGARA RD STE 414
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1176
Practice Address - Country:US
Practice Address - Phone:202-558-0278
Practice Address - Fax:202-350-9000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-26
Last Update Date:2009-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2859332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies