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Organization

CUSTOM SPECIALTY PRODUCTS, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA MCNAMARA (CEO & PRES.)
(401) 942-1773
Entity
Organization

Contact information

Practice address
490 UNION AVE, PROVIDENCE, RI 02909-4808
(401) 942-1773
(401) 944-5571
Mailing address
490 UNION AVE, PROVIDENCE, RI 02909-4808
(401) 942-1773
(401) 944-5571

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
15710
RI
332BC3200X
Customized Equipment (DME)
Primary
15710
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CS29152
DME PROVIDER
RI
Enumeration date
04/02/2007
Last updated
07/10/2007
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