Provider Demographics
NPI:1417013947
Name:APEX MEDICAL PRODUCTS
Entity Type:Organization
Organization Name:APEX MEDICAL PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:PERDIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-843-7327
Mailing Address - Street 1:709 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3321
Mailing Address - Country:US
Mailing Address - Phone:781-331-0091
Mailing Address - Fax:781-331-6088
Practice Address - Street 1:709 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3321
Practice Address - Country:US
Practice Address - Phone:781-331-0091
Practice Address - Fax:781-331-6088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA426332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0015607OtherNEIGHBORHOOD HEALTH PLAN
MA370754OtherBLUE CROSS BLUE SHIELD
MA1536621Medicaid
MA1536621Medicaid