Provider Demographics
NPI:1477999068
Name:STRATEGIC PRACTICE SOLUTIONS
Entity Type:Organization
Organization Name:STRATEGIC PRACTICE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-477-1564
Mailing Address - Street 1:650 FROM RD
Mailing Address - Street 2:MACK CALI CENTRE II SUITE 565
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3517
Mailing Address - Country:US
Mailing Address - Phone:201-477-1564
Mailing Address - Fax:201-549-6316
Practice Address - Street 1:650 FROM RD
Practice Address - Street 2:MACK CALI CENTRE II SUITE 565
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3517
Practice Address - Country:US
Practice Address - Phone:201-477-1564
Practice Address - Fax:201-549-6316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies