Provider Demographics
NPI:1073099339
Name:NUTMEG MEDICAL
Entity type:Organization
Organization Name:NUTMEG MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ORLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-930-7875
Mailing Address - Street 1:9 YORKSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06013-1629
Mailing Address - Country:US
Mailing Address - Phone:800-930-7875
Mailing Address - Fax:860-507-7576
Practice Address - Street 1:9 YORKSHIRE WAY
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06013-1629
Practice Address - Country:US
Practice Address - Phone:860-463-4000
Practice Address - Fax:860-675-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies