Organization
AGAWAM MEDICAL SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DEAN SARACINO (PRESIDENT)
(413) 789-1100
Entity
Organization
Contact information
Practice address
56 ABRAMS DRIVE, AGAWAM, MA 01001
(413) 789-1100
(413) 786-9201
Mailing address
56 ABRAMS DRIVE, AGAWAM, MA 01001
(413) 789-1100
(413) 786-9201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003091676
—
CT
05
—
110029278B
—
MA
05
—
1535706
—
MA
01
—
355154
BCBS
MA
Enumeration date
11/14/2006
Last updated
07/09/2024
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