Organization
EVIS MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISELLA P MONCAYO (CEO/PRESIDENT)
(860) 296-3565
Entity
Organization
Contact information
Practice address
751 MAPLE AVE, HARTFORD, CT 06114-2315
(860) 296-3565
Mailing address
751 MAPLE AVE, HARTFORD, CT 06114-2315
(860) 296-3565
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
CSW0001665
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004143228
—
CT
Enumeration date
11/30/2005
Last updated
08/29/2012
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