Organization · Type 2 NPI

State of Connecticut

Durable Medical Equipment & Medical Supplies · Simsbury, CT

NPI number 1790974657 Active

Practice location

381 Hopmeadow Street
Simsbury, CT 06070

Fax (860) 658-4961

Mailing address

263 Farmington Ave, Provider Enrollment - Dowling South
Farmington, CT 06030-2212

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X035715 (CT)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1790974657

State of Connecticut's National Provider Identifier is 1790974657, issued on Oct 17, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Simsbury, CT. The record was last updated on Jun 14, 2012.