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Organization

MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.

Active
Other names
Genox Homecare
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOREE ANDERSON MA (PRESIDENT)
(855) 914-9140
Entity
Organization

Contact information

Practice address
82 BOSTON POST RD, WATERFORD, CT 06385-2425
(860) 444-4965
(860) 444-4969
Mailing address
82 BOSTON POST RD, WATERFORD, CT 06385-2425
(860) 444-4965
(860) 444-4969

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004021267
CT
Enumeration date
09/15/2006
Last updated
09/24/2014
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