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Organization
HEALTH COMPLEX MEDICAL LLC
Active
Organization
HEALTH COMPLEX MEDICAL LLC
Active
Other names
Health Complex Medical
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
84 PROGRESS LN, WATERBURY, CT 06705-3863
(203) 753-7778
(203) 753-7779
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040159013
—
CT
Enumeration date
05/31/2005
Last updated
10/14/2025
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