Provider Demographics
NPI:1073620019
Name:MEDICAL EQUIPMENT & DEVICES INC
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT & DEVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:CERUNDOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-337-3070
Mailing Address - Street 1:65 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3367
Mailing Address - Country:US
Mailing Address - Phone:781-337-3070
Mailing Address - Fax:781-337-9709
Practice Address - Street 1:65 WINTER ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3367
Practice Address - Country:US
Practice Address - Phone:781-337-3070
Practice Address - Fax:781-337-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1527134Medicaid
MA806154OtherTUFTS HEALTH PLAN
MA197954OtherBLUE CROSS BLUE SHIELD MA
MA701005OtherHARVARD COMMUNITY HEALTH
MA2407OtherFALLON COMMUNITY HEALTH
MA701005OtherHARVARD COMMUNITY HEALTH