Organization Name: | BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC. |
NPI Number: | 1043243413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK FAWCETT (TREASURER) |
Mailing Address: | 135 Middle St Bristol |
State: | CT US |
Postal Code: | 060107404 |
Phone Number: | 8605842115 |
Fax Number: | 8605842646 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 0273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |