Th E Sports Medicine Store LLC
NPI #1558585638 in Lenox, Massachusetts
Provider Information
- NPI Number
- 1558585638
- Entity Type
- Organization
- Organization Name
- Th E Sports Medicine Store LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 55 PITTSFIELD RD
- Address 2
- BLDG #8B
- City
- Lenox
- State
- Massachusetts
- ZIP Code
- 01240-2122
- Phone
- (413) 637-8326
Authorized Official
- Name
- MR. THOMAS A MORELLI II
- Title
- PRESIDENT
- Phone
- (518) 522-0340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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