Provider Demographics
NPI:1639110588
Name:TRIUMPH MARKETING GROUP, LLC
Entity Type:Organization
Organization Name:TRIUMPH MARKETING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/VP MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSSILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-292-3130
Mailing Address - Street 1:1117 E PUTNAM AVE
Mailing Address - Street 2:NO. 191
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-1333
Mailing Address - Country:US
Mailing Address - Phone:203-292-3130
Mailing Address - Fax:
Practice Address - Street 1:1117 E PUTNAM AVE
Practice Address - Street 2:NO. 191
Practice Address - City:RIVERSIDE
Practice Address - State:CT
Practice Address - Zip Code:06878-1333
Practice Address - Country:US
Practice Address - Phone:203-292-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies