Organization
DYNAMEDICS CORPORATION
Active
Organization
DYNAMEDICS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C STEPHENS (PRESIDENT)
(855) 433-7474
Entity
Organization
Contact information
Practice address
72 GROVE ST, FRANKLIN, MA 02038-3241
(855) 433-7474
(877) 963-6240
Mailing address
72 GROVE ST, FRANKLIN, MA 02038-3241
(855) 433-7474
(877) 963-6240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100851490A
—
OK
05
—
1538519
—
MA
05
—
156680401
—
TX
01
—
394154
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/06/2007
Last updated
07/28/2011
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