Healthcare Provider Details

I. General information

NPI: 1033171798
Provider Name (Legal Business Name): NATIONAL SURGICAL SUPPLY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WOODRUFF AVE STE 13
NARRAGANSETT RI
02882-3467
US

IV. Provider business mailing address

14 WOODRUFF AVE STE 13
NARRAGANSETT RI
02882-3467
US

V. Phone/Fax

Practice location:
  • Phone: 401-783-1850
  • Fax:
Mailing address:
  • Phone: 401-783-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL DAVID DESMARAIS
Title or Position: MANAGER
Credential: RCP
Phone: 401-783-1850