Provider Demographics
NPI:1609105147
Name:ASSOCIATED MEDICAL, INC.
Entity Type:Organization
Organization Name:ASSOCIATED MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-204-2874
Mailing Address - Street 1:7 SYCAMORE WAY, UNIT 2
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2935
Mailing Address - Country:US
Mailing Address - Phone:203-204-2874
Mailing Address - Fax:860-865-0350
Practice Address - Street 1:7 SYCAMORE WAY, UNIT 2
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2935
Practice Address - Country:US
Practice Address - Phone:203-204-2874
Practice Address - Fax:860-865-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008044408Medicaid
CT008044408Medicaid