Organization
MIDDLESEX HOME CARE & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDREW DRUMMOND MS RPFT (OWNER PRESIDENT)
(860) 632-0393
Entity
Organization
Contact information
Practice address
160 WEST ST, BLDG 1 SUITE K, CROMWELL, CT 06416
(860) 632-0393
(860) 346-9096
Mailing address
PO BOX 375, MIDDLETOWN, CT 06457-0375
(860) 632-0393
(860) 346-9096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0164CT01
ANTHEM BCBS
CT
05
—
4063525
—
CT
Enumeration date
07/11/2006
Last updated
10/05/2007
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