Organization
ST. FRANCIS MEDICAL EQUIPMENT & SURGICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA R RAY (VICE PRESIDENT)
(203) 755-1495
Entity
Organization
Contact information
Practice address
337 E MAIN ST, WATERBURY, CT 06702-2308
(203) 755-1495
(203) 757-2841
Mailing address
337 E MAIN ST, WATERBURY, CT 06702-2308
(203) 755-1495
(203) 757-2841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0378CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
08/31/2006
Last updated
08/22/2020
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