Provider Demographics
NPI:1093950131
Name:THE BRACE COMPANY
Entity Type:Organization
Organization Name:THE BRACE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:PERSICHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-266-0750
Mailing Address - Street 1:106 CENTRE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4131
Mailing Address - Country:US
Mailing Address - Phone:856-266-0750
Mailing Address - Fax:856-596-7416
Practice Address - Street 1:106 CENTRE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4131
Practice Address - Country:US
Practice Address - Phone:856-266-0750
Practice Address - Fax:856-596-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies