Individual
STEPHEN AGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
961 RT 20, NEWFANE, VT 05345-0124
(802) 365-7203
Mailing address
P.O. BOX 124, NEWFANE, VT 05345-0124
(802) 365-7203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CS029015
MA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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