Organization Name: | SUBURBAN HOME MEDICAL, INC |
NPI Number: | 1003145525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG CZAPIGA (PRESIDENT / OWNER) |
Mailing Address: | 119 S Main St Colchester |
State: | CT US |
Postal Code: | 064151456 |
Phone Number: | 8605373436 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2009 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |