Provider Demographics
NPI:1881812295
Name:THE TRAINING ROOM, INC.
Entity type:Organization
Organization Name:THE TRAINING ROOM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOLESTA
Authorized Official - Suffix:
Authorized Official - Credentials:ATC BOC
Authorized Official - Phone:410-374-4000
Mailing Address - Street 1:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-0611
Mailing Address - Country:US
Mailing Address - Phone:410-646-5510
Mailing Address - Fax:410-374-5000
Practice Address - Street 1:3421 BENSON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1056
Practice Address - Country:US
Practice Address - Phone:410-646-5510
Practice Address - Fax:410-374-5000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03187926332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment