Organization
ELLSWORTH MEDICAL AND SURGICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET COSKER (OWNER)
(860) 298-9333
Entity
Organization
Contact information
Practice address
545 SPRING ST STE B, WINDSOR LOCKS, CT 06096-1161
(860) 298-9333
(860) 298-9248
Mailing address
545 SPRING ST STE B, WINDSOR LOCKS, CT 06096-1161
(860) 298-9333
(860) 370-5535
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004122149
—
CT
01
—
12DME0619CT02
ANTHEM BLUE CROSS
CT
Enumeration date
08/09/2006
Last updated
04/01/2026
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