Organization
COLONIAL MEDICAL ASSISTED DEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE A FORRENCE (VICE-PRESIDENT)
(603) 881-8351
Entity
Organization
Contact information
Practice address
14 CELINA AVE, UNIT #1, NASHUA, NH 03063-1025
(603) 881-8351
(603) 595-8019
Mailing address
14 CELINA AVE, UNIT #1, NASHUA, NH 03063-1025
(603) 881-8351
(603) 595-8019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0961037
—
IA
05
—
1531956
—
MA
05
—
227858
—
OR
05
—
30004860
—
NH
Enumeration date
03/29/2007
Last updated
08/22/2020
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