Provider Demographics
NPI:1114971082
Name:RAP MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:RAP MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:GLANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-620-8811
Mailing Address - Street 1:24 UNION AVE.
Mailing Address - Street 2:26
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-620-8811
Mailing Address - Fax:508-620-9425
Practice Address - Street 1:24 UNION AVE.
Practice Address - Street 2:26
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-620-8811
Practice Address - Fax:508-620-9425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1538047Medicaid
1178190001Medicare NSC