Provider Demographics
NPI:1073822532
Name:EZ MED SERVICES
Entity Type:Organization
Organization Name:EZ MED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORO-AZICRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-246-1983
Mailing Address - Street 1:225 ESSEX STREET
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841
Mailing Address - Country:US
Mailing Address - Phone:857-246-1983
Mailing Address - Fax:
Practice Address - Street 1:225 ESSEX STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841
Practice Address - Country:US
Practice Address - Phone:857-246-1983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center