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Organization

NEW ENGLAND TELEMEDICINE PA

Active
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Organization

NEW ENGLAND TELEMEDICINE PA

Active
Other names
Paramount Medical Supply
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRUSTIN ROY ENNACHERIL MD (PRESIDENT/CEO)
(617) 780-8110
Entity
Organization

Contact information

Practice address
98 ROUTE 236, SUITE #1, KITTERY, ME 03904
(855) 275-9962
(207) 703-2781
Mailing address
98 ROUTE 236, SUITE #1, KITTERY, ME 03904
(855) 275-9962
(207) 703-2781

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
09/09/2013
Last updated
11/13/2013
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