Provider Demographics
NPI:1043472384
Name:NEW ENGLAND MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:NEW ENGLAND MEDICAL SUPPLY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO. PRESIDENT & MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HERIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPANES
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPHT
Authorized Official - Phone:413-320-4665
Mailing Address - Street 1:142 N KING ST
Mailing Address - Street 2:UNIT#3
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1120
Mailing Address - Country:US
Mailing Address - Phone:413-320-4665
Mailing Address - Fax:
Practice Address - Street 1:142 N KING ST
Practice Address - Street 2:UNIT#3
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-1120
Practice Address - Country:US
Practice Address - Phone:413-320-4665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ENGLAND MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies