Organization
WATERBURY MEDICAL EQUIP SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S SHEA (OWNER)
(203) 754-4118
Entity
Organization
Contact information
Practice address
1395 BALDWIN ST, WATERBURY, CT 06706-2002
(203) 754-4118
(203) 756-3829
Mailing address
1395 BALDWIN STREET, WATERBURY, CT 06706
(203) 754-4118
(203) 756-3829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004020665
—
CT
Enumeration date
08/03/2006
Last updated
01/27/2010
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