Organization
DTS MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE O MULO (AUTHORIZED OFFICIAL)
(978) 552-9171
Entity
Organization
Contact information
Practice address
186 CHARLES ST UNIT 5, WALTHAM, MA 02453-4263
(978) 552-9171
Mailing address
186 CHARLES ST UNIT 5, WALTHAM, MA 02453-4263
(978) 552-9171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1721203776
STATE CORP
MA
Enumeration date
06/15/2020
Last updated
06/15/2020
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