Organization
MERIDEN SURGICAL SUPPLY INC
Active
Organization
MERIDEN SURGICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C DEZINNO (PRES&TREA.)
(203) 235-0132
Entity
Organization
Contact information
Practice address
170 WEST MAIN STREET, MERIDEN, CT 06451
(203) 235-0132
(203) 235-0244
Mailing address
170 WEST MAIN STREET, MERIDEN, CT 06451
(203) 235-0132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004020574
—
CT
Enumeration date
01/19/2007
Last updated
05/05/2020
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