Organization
HEALTH COMPLEX MEDICAL LLC
Active
Other names
Health Complex Medical
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
84 PROGRESS LN, WATERBURY, CT 06705-3863
(203) 753-7778
(203) 753-7779
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040159013
—
CT
Enumeration date
05/31/2005
Last updated
10/14/2025
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