Provider Demographics
NPI:1033182910
Name:SYNERGY DME
Entity Type:Organization
Organization Name:SYNERGY DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CRINCOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-538-3650
Mailing Address - Street 1:67 UNION ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-7700
Mailing Address - Country:US
Mailing Address - Phone:508-650-9999
Mailing Address - Fax:508-653-1054
Practice Address - Street 1:67 UNION ST
Practice Address - Street 2:SUITE 106
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-7700
Practice Address - Country:US
Practice Address - Phone:508-650-9999
Practice Address - Fax:508-653-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5202130001Medicare NSC