OrganizationActive
Advance Group L.L.C.
NPI 1699777979 · Durable Medical Equipment & Medical Supplies · Pikesville, MD
Provider details
- NPI number
- 1699777979
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Yeduard Pastushenko, President(410) 580-2040
- License
- R2173 (MD)
Specialties & taxonomies
Suppliers
Practice location
1328 Reisterstown Rd
Ste C
Pikesville, MD 21208-3838
Phone: (410) 580-2040
Fax: (410) 580-2060
Approximate (ZIP-level) locationGet directions
Mailing address
1328 Reisterstown Rd
Pikesville, MD 21208-3838
Other names (DBA / former)
- Doing business as
- Advance Group Medical Supply & Equipment
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.