| NPI | 1851542229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D COLLURA Manager 781-771-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MA 499) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 499) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MA 499) | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: MA 499) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |