| NPI | 1386947125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN GORIN Vice President 860-887-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 0684258000) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |