Organization
SUBURBAN HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG M CZAPIGA (PRESIDENT / OWNER)
(860) 236-0755
Entity
Organization
Contact information
Practice address
141 SOUTH ST, WEST HARTFORD, CT 06110-1963
(860) 236-7055
(860) 570-1264
Mailing address
141 SOUTH ST, WEST HARTFORD, CT 06110-1963
(860) 236-7055
(860) 570-1264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002302
—
CT
Enumeration date
02/23/2007
Last updated
12/17/2009
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