NPI 1063884146

Mmi Script Hub & Medical Supplies

Organisation General Practice Physician Storrs, CT

Practice location

Address: 1768 Storrs Rd, Storrs, CT 06268-1260
Phone: (860) 477-0961
Fax: (860) 477-0962
Mailing address: 48a Moosup Valley Road, Foster, RI 02825-1236

Authorised official

Name: Ricky McCullough
Title: Ceo
Phone: (860) 477-0961

Registered specialties (8)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD06257 (RI)

Other General Practice providers in Connecticut →

Oral Medicine Dentistry

Dental Providers Taxonomy 125Q00000X

Other Dentist providers in Connecticut →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 52697 (MA)

Other Emergency Medicine providers in Connecticut →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD06257 (RI)

Other Internal Medicine providers in Connecticut →

Medical Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RX0202X

Gynecologic Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X

Other Obstetrics & Gynecology providers in Connecticut →

Radiation Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1063884146
Entity type: Organization
NPI issued: 28 Oct 2015
Record last updated: 17 Apr 2018

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.