Provider Demographics
NPI:1912074022
Name:A & A MEDICAL SUPPLY, CORP
Entity Type:Organization
Organization Name:A & A MEDICAL SUPPLY, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-635-0002
Mailing Address - Street 1:20 MAIN ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3575
Mailing Address - Country:US
Mailing Address - Phone:978-635-0002
Mailing Address - Fax:978-263-0821
Practice Address - Street 1:20 MAIN ST
Practice Address - Street 2:UNIT C
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3575
Practice Address - Country:US
Practice Address - Phone:978-635-0002
Practice Address - Fax:978-263-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20485OtherBMC
MA704179OtherHARVARD PILGRIM
MA390854OtherBLUECROSS BLUE SHIELD
MA0021006OtherNEIGHBORHOOD HLTH
MA1539256Medicaid
MA686311OtherTUFTS
MA1539256Medicaid