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Organization

HOMECARE PROFESSIONALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. F GEORGE AWWAD RPH (OWNER)
(203) 754-1850
Entity
Organization

Contact information

Practice address
1587 HAMILTON AVE, WATERBURY, CT 06706-2403
(203) 754-1850
(203) 573-1308
Mailing address
1587 HAMILTON AVE, WATERBURY, CT 06706-2403
(203) 754-1850
(203) 573-1308

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019608
ACM PROVIDER NUMBER
CT
01
12DME0605CT
BLUE CROSS DME
CT
01
150
BLUE CROSS INFUSION PROVI
CT
01
713285
CTCARE PROVIDER NUMBER
CT
01
898883
AETNA PROVIDER NUMBER
CT
01
A782569
OXFORD PROVIDER NUMBER
CT
Enumeration date
07/20/2005
Last updated
08/22/2020
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