Organization
VALLEY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN V MARRO (PRESIDENT/CEO)
(203) 732-4269
Entity
Organization
Contact information
Practice address
49 PERSHING DR, DERBY, CT 06418-1406
(203) 732-4269
(203) 732-4062
Mailing address
49 PERSHING DR, DERBY, CT 06418-1406
(203) 732-4269
(203) 732-4062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0182CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
—
ANC1664
OXFORD HEALTH
CT
01
—
BLUECARE FAMILY PLAN
00406954800
CT
Enumeration date
06/15/2005
Last updated
08/22/2020
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