| NPI | 1033381249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON FOSDICK Owner 203-294-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000723) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2009-01-12 |