Organization
J & L MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R LOYER SR. MS, RRT (PRESIDENT/CEO)
(203) 757-4991
Entity
Organization
Contact information
Practice address
201 PARK AVE, WEST SPRINGFIELD, MA 01089-3347
(203) 757-4991
(203) 757-9935
Mailing address
199 PARK ROAD EXT, SUITE A, MIDDLEBURY, CT 06762-1833
(888) 757-4991
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4668630005
MEDICARE PTAN
CT
Enumeration date
10/08/2012
Last updated
10/09/2012
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