Organization
MEDTECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P MACRE (PRINCIPLE MEMBER)
(203) 641-7276
Entity
Organization
Contact information
Practice address
284 RACEBROOK RD, SUITE # 217, ORANGE, CT 06477-3103
(203) 298-0677
Mailing address
284 RACEBROOK RD, SUITE # 217, ORANGE, CT 06477-3103
(203) 298-0677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
04/16/2010
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