Provider Demographics
NPI:1104839232
Name:TECHNICAL GAS PRODUCTS INC
Entity Type:Organization
Organization Name:TECHNICAL GAS PRODUCTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-239-1002
Mailing Address - Street 1:101 N PLAINS INDUSTRIAL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-5835
Mailing Address - Country:US
Mailing Address - Phone:800-847-0745
Mailing Address - Fax:203-234-2478
Practice Address - Street 1:101 N PLAINS INDUSTRIAL RD STE 1
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-5835
Practice Address - Country:US
Practice Address - Phone:800-847-0745
Practice Address - Fax:203-234-2478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCSW.0001696332BX2000X
NH4587332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004217164Medicaid
CT004217164Medicaid