NPI 1033563770

Modern Care Medical Supplies LLC

Organisation Durable Medical Equipment & Medical Supplies Bridgeport, CT

Practice location

Address: 3780 Main St, Bridgeport, CT 06606-3610
Phone: (203) 870-8987
Fax: (203) 870-8988

Authorised official

Name: Olutayo Olumayowa Olukoya
Title: Manager
Phone: (203) 243-8199

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 1216892 (CT)

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Registry record

NPI: 1033563770
Entity type: Organization
NPI issued: 19 Apr 2016
Record last updated: 19 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.