Provider Demographics
NPI:1356702153
Name:TECHNICAL GAS PRODUCTS, INC.
Entity type:Organization
Organization Name:TECHNICAL GAS PRODUCTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:IMBERGAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-239-1002
Mailing Address - Street 1:66 LEONARDO DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-2527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1510 CANTON CENTER DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:06473
Practice Address - Country:US
Practice Address - Phone:203-239-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30765096Medicaid
OH3044628Medicaid
CT004217164Medicaid
MA1532600Medicaid
NH30765096Medicaid
NH5731600003Medicare NSC
MA5731600004Medicare NSC
MA1532600Medicaid