Provider Demographics
NPI:1790544393
Name:OXFORD PERFORMANCE MATERIALS, INC.
Entity Type:Organization
Organization Name:OXFORD PERFORMANCE MATERIALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SALES
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFELICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-552-8304
Mailing Address - Street 1:30 S SATELLITE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-3445
Mailing Address - Country:US
Mailing Address - Phone:860-698-9300
Mailing Address - Fax:
Practice Address - Street 1:30 S SATELLITE RD
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-3445
Practice Address - Country:US
Practice Address - Phone:860-698-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies