Organization
COASTAL HOME RESPIRATORY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J KOSINSKI (PRESIDENT)
(978) 685-4111
Entity
Organization
Contact information
Practice address
28 ANDOVER ST, SUITE 232, ANDOVER, MA 01810-4888
(781) 635-9668
Mailing address
28 ANDOVER ST, SUITE 232, ANDOVER, MA 01810-4888
(781) 635-9668
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000357454
BLUE CROSS MA
MA
Enumeration date
01/02/2008
Last updated
11/09/2011
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