Organization
NORTHWEST MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J. BATISTE (MANAGING MEMBER)
(860) 283-2839
Entity
Organization
Contact information
Practice address
10 MARINE ST, THOMASTON, CT 06787-1470
(860) 283-2839
(860) 283-9468
Mailing address
10 MARINE ST, THOMASTON, CT 06787-1470
(860) 283-2839
(860) 283-9468
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0003954326
CT
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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