Organization
MEDSTAR SURGICAL & BREATHING EQUIPMENT, INC.
Active
Other names
Genox Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOREE ANDERSON MA (PRESIDENT)
(855) 914-9140
Entity
Organization
Contact information
Practice address
201 CHRISTIAN LN, UNIT C, BERLIN, CT 06037-1451
(860) 570-1010
(860) 570-1013
Mailing address
201 CHRISTIAN LN, UNIT C, BERLIN, CT 06037-1451
(860) 570-1010
(860) 570-1013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004021267
—
CT
Enumeration date
08/31/2006
Last updated
07/14/2014
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