Organization
M24UDME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASON DIMAURO (PRESIDENT)
(860) 740-5775
Entity
Organization
Contact information
Practice address
871 NEWFIELD ST STE D, MIDDLETOWN, CT 06457-1815
(860) 740-5775
Mailing address
871 NEWFIELD ST STE D, MIDDLETOWN, CT 06457-1815
(860) 740-5775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
10/09/2025
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