MEDICARE: UNIQUE MEDICAL SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0261743000	CT

General Provider Information

NPI Number	:	1760416978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE MEDICAL SERVICES INC.

Provider Business Mailing Address
First Line	:	100 FARMINGTON AVE
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105-3708
Country	:	US
Telephone Number	:	860-522-2898
Fax Number	:	860-246-2017

Provider Business Practice Location Address
First Line	:	100 FARMINGTON AVE
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105-3708
Country	:	US
Telephone Number	:	860-522-2898
Fax Number	:	860-246-2017

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. ALOYSIUS UDOH
Credential	:
Telephone Number	:	860-522-2898

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/22/2020

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