Provider Demographics
NPI:1558412874
Name:TOWNE MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:TOWNE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY FRANCES
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROZAK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH COF
Authorized Official - Phone:508-757-7048
Mailing Address - Street 1:258 BOSTON TPKE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2638
Mailing Address - Country:US
Mailing Address - Phone:508-757-7048
Mailing Address - Fax:508-754-4603
Practice Address - Street 1:258 BOSTON TPKE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2638
Practice Address - Country:US
Practice Address - Phone:508-757-7048
Practice Address - Fax:508-754-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0415057OtherMASS HEALTH
MA436990OtherCIGNA
MA700552OtherHARVARD PILGRIM
MA2590OtherFALLON COMMUNITY HEALTH P
MA157954OtherBLUE CROSS
MA800534OtherTUFTS
MA700552OtherHARVARD PILGRIM