Provider Demographics
NPI:1992429104
Name:OXFORD MEDICAL SUPPLIES, LLC
Entity type:Organization
Organization Name:OXFORD MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROOSEVELT
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:203-605-5328
Mailing Address - Street 1:723 SAW MILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-3921
Mailing Address - Country:US
Mailing Address - Phone:888-645-1510
Mailing Address - Fax:
Practice Address - Street 1:723 SAW MILL RD
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-3921
Practice Address - Country:US
Practice Address - Phone:888-645-1510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies