Organization
VANGUARD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN NUSSBERG (OWNER)
(860) 808-6532
Entity
Organization
Contact information
Practice address
1 PARROTT DR STE 400, SHELTON, CT 06484-4853
(860) 808-6532
Mailing address
24 SODOM LN STE 1, DERBY, CT 06418-2608
(860) 808-6532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/06/2023
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