Organization
EVIS MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLA P MONCAYO (CEO/PRESIDENT)
(860) 296-3565
Entity
Organization
Contact information
Practice address
348 N MAIN ST, WEST HARTFORD, CT 06117-2526
(860) 296-3565
(860) 296-3566
Mailing address
141 SOUTH ST STE A, WEST HARTFORD, CT 06110-1963
(860) 296-3565
(860) 296-3566
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004143228
—
CT
Enumeration date
08/06/2014
Last updated
08/06/2014
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