Organization
COMMONWEALTH DME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GNEBA KOKOURA (PRESIDENT/CEO)
(781) 438-2838
Entity
Organization
Contact information
Practice address
38 MONTVALE AVE, SUITE 265, STONEHAM, MA 02180-2446
(781) 438-3301
(781) 438-3302
Mailing address
38 MONTVALE AVE, SUITE 265, STONEHAM, MA 02180-2446
(781) 438-3301
(781) 438-3302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/15/2007
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