Provider Demographics
NPI:1891787610
Name:FORE TECH MEDICAL
Entity Type:Organization
Organization Name:FORE TECH MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUCHSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-699-3061
Mailing Address - Street 1:704 DARTMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-6308
Mailing Address - Country:US
Mailing Address - Phone:800-699-6031
Mailing Address - Fax:877-369-5579
Practice Address - Street 1:375 N MAIN ST
Practice Address - Street 2:SUITE B3
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1481
Practice Address - Country:US
Practice Address - Phone:800-699-3061
Practice Address - Fax:877-369-5579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1030830001OtherDME