Organization
CONNECTICUT MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DEAN SARACINO (VICE PRESIDENT)
(860) 749-4070
Entity
Organization
Contact information
Practice address
243 HAZARD AVE, ENFIELD, CT 06082-4647
(860) 749-4070
(860) 749-0214
Mailing address
243 HAZARD AVE, ENFIELD, CT 06082-4647
(860) 749-4070
(860) 749-0241
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P008032113
—
CT
Enumeration date
06/18/2008
Last updated
09/09/2020
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