| NPI | 1336491752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BANCROFT VYE VP Administration 860-972-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208800000X Urology |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2019-07-17 |