Organization
MASS SURGICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J OCONNOR (MANAGING MEMBER)
(413) 532-1401
Entity
Organization
Contact information
Practice address
249 HIGH ST, HOLYOKE, MA 01040-6513
(413) 532-1401
(413) 532-1128
Mailing address
249 HIGH ST, HOLYOKE, MA 01040-6513
(413) 532-1401
(413) 532-1128
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020453
BMC HEALTHNET
MA
01
—
0000167954
BCBS OF MA
MA
01
—
32385
HEALTH NEW ENGLAND
MA
Enumeration date
11/17/2005
Last updated
07/19/2011
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