Healthcare Provider Details

I. General information

NPI: 1790494649
Provider Name (Legal Business Name): JFB DISTRIBUTORS & DELIVERY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 MAIN ST # 205206
TEWKSBURY MA
01876-1888
US

IV. Provider business mailing address

853 MAIN ST # 205206
TEWKSBURY MA
01876-1888
US

V. Phone/Fax

Practice location:
  • Phone: 617-938-9522
  • Fax:
Mailing address:
  • Phone: 617-938-9522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JULIET KAVUMA KALUNGI
Title or Position: CEO
Credential:
Phone: 617-502-0784