Provider Demographics
NPI:1245311265
Name:DM TEK, INC.
Entity type:Organization
Organization Name:DM TEK, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:TREITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-717-6800
Mailing Address - Street 1:90 N WASHINGTON ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-1914
Mailing Address - Country:US
Mailing Address - Phone:617-717-6800
Mailing Address - Fax:
Practice Address - Street 1:90 N WASHINGTON ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-1914
Practice Address - Country:US
Practice Address - Phone:617-717-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4610790001Medicare ID - Type Unspecified