Organization
GARY SOHN
Active
Other names
WEST END MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SOHN (OWNER)
(860) 889-8785
Entity
Organization
Contact information
Practice address
318 W MAIN ST, NORWICH, CT 06360-5413
(860) 889-8785
(860) 889-7474
Mailing address
318 W MAIN ST, NORWICH, CT 06360-5413
(860) 889-8785
(860) 889-7474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004015699
—
CT
01
—
12DME0121CT01
ANTHEM
CT
01
—
OR4680
HEALTH NET
—
Enumeration date
12/03/2007
Last updated
06/21/2018
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