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Organization

TH E SPORTS MEDICINE STORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS A MORELLI II (PRESIDENT)
(518) 522-0340
Entity
Organization

Contact information

Practice address
55 PITTSFIELD RD, BLDG #8B, LENOX, MA 01240-2122
(413) 637-8326
Mailing address
55 PITTSFIELD RD, BLDG #8B, LENOX, MA 01240-2122
(413) 637-8326

Taxonomy

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

Other

Enumeration date
04/12/2007
Last updated
08/22/2020
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