Provider Demographics
NPI:1528532892
Name:M&M MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:M&M MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-966-3290
Mailing Address - Street 1:107 UXBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:MA
Mailing Address - Zip Code:01756-1223
Mailing Address - Country:US
Mailing Address - Phone:508-966-3298
Mailing Address - Fax:508-464-0332
Practice Address - Street 1:555 BRIDGE ST STE 2
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02191-1825
Practice Address - Country:US
Practice Address - Phone:877-966-6337
Practice Address - Fax:508-464-0332
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M&M MEDICAL SUPPLY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-19
Last Update Date:2019-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty
No224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Multi-Specialty
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty