Organization
RIFKIN MEDICAL PRODUCTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE RIFKIN (LLC MEMBER)
(203) 758-6569
Entity
Organization
Contact information
Practice address
93 WATERBURY RD, PROSPECT, CT 06712
(203) 758-6569
(203) 758-0443
Mailing address
21 HOLLEY LANE, PROSPECT, CT 06712
(203) 758-6569
(203) 758-0443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0874CT01
ANTHEM BCBS
—
Enumeration date
11/27/2006
Last updated
09/04/2008
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