Provider Demographics
NPI:1578718896
Name:BIOWAVE CORPORATION
Entity Type:Organization
Organization Name:BIOWAVE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-246-9283
Mailing Address - Street 1:3 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4705
Mailing Address - Country:US
Mailing Address - Phone:877-246-9283
Mailing Address - Fax:203-286-2518
Practice Address - Street 1:3 BROOK ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4705
Practice Address - Country:US
Practice Address - Phone:877-246-9283
Practice Address - Fax:203-286-2518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCSW.0002062332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies