Provider Demographics
NPI:1134230089
Name:ELECTRO DEVICES, INC
Entity type:Organization
Organization Name:ELECTRO DEVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOUGALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-263-3547
Mailing Address - Street 1:84 MIDDLE ROAD TPKE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06798-2933
Mailing Address - Country:US
Mailing Address - Phone:203-263-3547
Mailing Address - Fax:203-263-4234
Practice Address - Street 1:84 MIDDLE ROAD TPKE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:CT
Practice Address - Zip Code:06798-2933
Practice Address - Country:US
Practice Address - Phone:203-263-3547
Practice Address - Fax:203-263-4234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT12DME0038CT01OtherANTHEM BC/BS
CTA379049OtherOXFORD HEALTH PLANS
CTOR4648OtherHEALTHNET