Provider Demographics
NPI:1033484464
Name:PHYSICIANS ELECTRO-THERAPY SOLUTIONS
Entity Type:Organization
Organization Name:PHYSICIANS ELECTRO-THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-242-1386
Mailing Address - Street 1:PO BOX 501
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08818-0501
Mailing Address - Country:US
Mailing Address - Phone:732-640-0263
Mailing Address - Fax:732-640-0264
Practice Address - Street 1:11 BROTHERHOOD ST
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5403
Practice Address - Country:US
Practice Address - Phone:732-640-0263
Practice Address - Fax:732-640-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies