Organization
SHORELINE MEDICAL SUPPLY, LLC
Active
Organization
SHORELINE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN JAY COURTRIGHT DPM (PRESIDENT)
(860) 437-8800
Entity
Organization
Contact information
Practice address
27 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
(860) 437-8800
(860) 447-9930
Mailing address
27 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
(860) 437-8800
(860) 447-9930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
41109232001
CT
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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