Organization
WELLNESS MEDICAL SUPPLY
Active
Parent organization
WELLNESS MEDICAL SUPPLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLNESS MEDICAL SUPPLY
Authorized official
PATRICK DUGGAN (CEO)
(508) 757-7048
Entity
Organization
Contact information
Practice address
45 MAIN ST STE A, BOYLSTON, MA 01505-1983
(508) 757-7048
(401) 729-5940
Mailing address
45 MAIN ST STE A, BOYLSTON, MA 01505-1983
(508) 757-7048
(978) 443-4598
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110134416B
—
MA
Enumeration date
02/24/2012
Last updated
04/29/2024
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