Organization
DORAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT VICEDOMINI (OWNER)
(504) 236-5437
Entity
Organization
Contact information
Practice address
375 WALNUT STREET EXT, AGAWAM, MA 01001-1547
(413) 789-4327
Mailing address
9 KINGFISHER LN, SUFFIELD, CT 06078-1548
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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