Organization
MASS BAY RESPIRATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE MARIE LONG (VP)
(781) 826-9797
Entity
Organization
Contact information
Practice address
10 EAST ST., HANOVER, MA 02339
(781) 826-9797
(781) 826-0080
Mailing address
10 EAST ST., HANOVER, MA 02339
(781) 826-9797
(781) 826-0080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
1540459
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540459
—
MA
01
—
398354
BCBS MA.
MA
01
—
AA23252
HPHC HAVARD
MA
Enumeration date
03/09/2007
Last updated
12/09/2008
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