NPI 1053725689
Pectus Services of Arizona, LLC
Practice location
- Address
- 3420 E Shea Blvd Suite 213, Phoenix, AZ 85028-3345
- Phone
- (877) 732-8876
- Mailing address
- 5 Bodnar St, Bernardsville, NJ 07924-1822
Authorised official
- Name
- Joseph Porcello
- Title
- President/Owner
- Phone
- (877) 732-8876
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1053725689
- Entity type
- Organization
- NPI issued
- 11 Jun 2014
- Record last updated
- 11 Jun 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.