Provider Demographics
NPI:1891187399
Name:ASSOCIATED MEDICAL INC
Entity Type:Organization
Organization Name:ASSOCIATED MEDICAL INC
Other - Org Name:NIKKORA
Other - Org Type:Doing Business As
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 1:21 BUSINESS PARK DR
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 1:85 RETREAT AVE STE 1
Practice Address - Street 2:CANCER CENTER BOUTIQUE HARTFORD HOSPITAL
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2555
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:2015-02-20
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier