# DR MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DR Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679912927
- **Authorized official:** MR. DARYL REUTER BOC ORTHOTIST (PRESIDENT/OWNER)
- **Authorized official phone:** (502) 222-1972

## Contact information

- **Practice address:** 322 MAIN ST STE 1W, WILLIMANTIC, CT 06226-3152
- **Practice address phone:** (508) 222-1972
- **Practice address fax:** (508) 222-6900
- **Mailing address:** 322 MAIN ST STE 1W, WILLIMANTIC, CT 06226-3152
- **Mailing address phone:** (508) 222-1972
- **Mailing address fax:** (508) 222-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | C16275 | MA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | C16275 | MA | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/20/2013