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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