Provider Demographics
NPI:1508087925
Name:DAISY MEDICAL INC
Entity Type:Organization
Organization Name:DAISY MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-836-0737
Mailing Address - Street 1:63 PARSONAGE LN
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-1321
Mailing Address - Country:US
Mailing Address - Phone:978-836-0737
Mailing Address - Fax:
Practice Address - Street 1:63 PARSONAGE LN
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-1321
Practice Address - Country:US
Practice Address - Phone:978-836-0737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA376654OtherBLUE CROSS BLUE SHIELD
MA1537415Medicaid
MA1127850001Medicare ID - Type Unspecified