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Kenneth C Pruyn Jr
Customized Equipment (DME) in Bridgewater, Massachusetts
NPI 1740266899

Kenneth C Pruyn Jr is a Customized Equipment (DME) based in Bridgewater, MA and is specialized in Customized Equipment. Kenneth C Pruyn Jr practices in Bridgewater, MA. The NPI Number for Kenneth C Pruyn Jr is 1740266899 and holds a License No. (Massachusetts).

The current practice location address for Kenneth C Pruyn Jr is 35 Armstrong Ct, Bridgewater, MA and can be reached out via phone at 800-652-6683 and via fax at 508-697-5015.

Location: 35 Armstrong Ct, Bridgewater, MA, 02324-2283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740266899
Provider Name
Kenneth C Pruyn Jr
Credential
Provider Entity Type
Organization
Address
35 Armstrong Ct, Bridgewater, MA, 02324-2283
Phone Number
800-652-6683
Fax Number
508-697-5015
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
316454 01 MA BLUE CROSS PROVIDER
1538136 05 MA
institution
Provider Business Practice Location Address Details
Address
35 Armstrong Ct
City
Bridgewater
State
Massachusetts
Zip
02324-2283
Phone Number
800-652-6683
Fax Number
508-697-5015
person
Provider Business Mailing Address Details
Address
35 Armstrong Ct
City
Bridgewater
State
Massachusetts
Zip
02324-2283
Phone Number
800-652-6683
Fax Number
508-697-5015
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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