Provider Demographics
NPI:1932513850
Name:PLOTKIN WAYSIDE FURNITURE CO.INC
Entity Type:Organization
Organization Name:PLOTKIN WAYSIDE FURNITURE CO.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-352-4334
Mailing Address - Street 1:93 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2307
Mailing Address - Country:US
Mailing Address - Phone:603-352-4334
Mailing Address - Fax:603-357-0686
Practice Address - Street 1:93 PARK AVE
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-2307
Practice Address - Country:US
Practice Address - Phone:603-352-4334
Practice Address - Fax:603-357-0686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies