Shoreline Medical Supply, LLC
Durable Medical Equipment & Medical Supplies in New London, CT. Organization (NPI-2).
NPI number1386823573
StatusActive
Last updated in NPPESOct 24, 2007
Details
- NPI
- 1386823573
- Entity type
- Organization (NPI-2)
- Legal business name
- Shoreline Medical Supply, LLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2007
- Last updated
- Oct 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 41109232001 | CT | Yes |
Practice location
27 Fair Harbour PlNew London, CT 06320-4710
Phone 860-437-8800 · Fax 860-447-9930
Mailing address
27 Fair Harbour PlNew London, CT 06320-4710
Phone 860-437-8800 · Fax 860-447-9930
Authorized official
Darren Jay Courtright
President
8604378800
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