MEDICARE: ATG COLORADO, 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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1942449210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATG COLORADO, INC

Provider Business Mailing Address
First Line	:	805 BROOK ST STE 402
Second Line	:
City	:	ROCKY HILL
State	:	CT
Zip	:	06067-3431
Country	:	US
Telephone Number	:	314-447-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	4474 BARNES RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-1550
Country	:	US
Telephone Number	:	719-573-8313
Fax Number	:	719-573-4843

Authorized Official
Title or Position	:	CFO
Name	:	MR. TAMAS FEITEL
Credential	:
Telephone Number	:	314-447-7515

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	09/21/2024

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