Provider Demographics
NPI:1942819156
Name:PRECISE TELEHEALTH INC
Entity Type:Organization
Organization Name:PRECISE TELEHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEROUAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-524-9871
Mailing Address - Street 1:22 W. PADONIA RD
Mailing Address - Street 2:STE C241
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2237
Mailing Address - Country:US
Mailing Address - Phone:844-245-7532
Mailing Address - Fax:667-239-5717
Practice Address - Street 1:550 CHRISTINE ANN LN
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-8763
Practice Address - Country:US
Practice Address - Phone:844-245-7532
Practice Address - Fax:667-239-5717
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISE TELEHEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-24
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty