Organization
SERVITIUM MED CT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL FRANCIS COSTELLO (MANAGER)
(855) 210-4002
Entity
Organization
Contact information
Practice address
615 W JOHNSON AVE STE 202, CHESHIRE, CT 06410-4532
(855) 210-4002
Mailing address
615 W JOHNSON AVE STE 202, CHESHIRE, CT 06410-4532
(855) 210-4002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
04/27/2017
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