SRC SERVICES INC. NPI 1417077157

NPI Information

SRC SERVICES, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Needham, MA. SRC SERVICES, INC. NPI is 1417077157. The provider is registered as an organization entity type.

The provider's business location address is:

63 KENDRICK ST
NEEDHAM, MA
ZIP 02494-708
Phone: (781) 707-9551
Fax: (781) 707-9555

The provider's authorized official is Jonathan E. Gould .
The authorized official title is Senior Vice President and has the following contact phone number (781) 707-9551.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 4/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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