Healthcare Provider Details

I. General information

NPI: 1659465060
Provider Name (Legal Business Name): BROOKFIELD MEDICAL SURGICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 OLD NEW MILFORD RD STE 2B
BROOKFIELD CT
06804-2430
US

IV. Provider business mailing address

PO BOX 801
BROOKFIELD CT
06804-0801
US

V. Phone/Fax

Practice location:
  • Phone: 203-775-9040
  • Fax: 203-775-9515
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPCY.0001469
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES CANGELOSI
Title or Position: OWNER
Credential: RPH
Phone: 203-775-9040