KENNETH C PRUYN JR; NPI #1740266899

Contact Information

KENNETH C PRUYN JR

35 ARMSTRONG CT
BRIDGEWATER, MA 02324-2283

Phone: 800-652-6683
Fax: 508-697-5015
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Customized Equipment	332BC3200X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KENNETH C PRUYN JR

NPI # 1740266899

LBN Legal business name KENNETH C PRUYN JR

Authorized official KENNETH PRUYN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/21/2005

Last updated 11/06/2007 - About 19 years ago

Identifiers

MA	Medicaid	1538136
MA	Other	316454	BLUE CROSS PROVIDER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KENNETH C PRUYN JR

Contact Information

Specialty

Customized Equipment

NPI Profile & details for KENNETH C PRUYN JR

Reviews for KENNETH C PRUYN JR