Organization
PROXTALKER.COM,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN L DOBBS (PRESIDENT)
(203) 721-6074
Entity
Organization
Contact information
Practice address
327 HUNTINGDON AVE, WATERBURY, CT 06708-1413
(203) 721-6074
(203) 721-6070
Mailing address
327 HUNTINGDON AVENUE, WATERBURY, CT 06708-1413
(203) 721-6074
(203) 721-6070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45099520-001
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008042594
—
CT
05
—
0081680
—
OH
05
—
03559886
—
NY
05
—
102818350 0001
—
PA
05
—
122970024
—
ME
05
—
1235364571
—
MI
05
—
6710460
—
RI
Enumeration date
05/15/2009
Last updated
10/31/2014
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