| NPI | 1538212857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER C DEZINNO Pres&Trea. 203-235-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-05-05 |