Provider Demographics
NPI:1558603522
Name:CURRENT PULSE LLC
Entity type:Organization
Organization Name:CURRENT PULSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIEDECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-842-7614
Mailing Address - Street 1:170 PATTERSON AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4167
Mailing Address - Country:US
Mailing Address - Phone:732-842-7614
Mailing Address - Fax:732-842-4416
Practice Address - Street 1:170 PATTERSON AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4167
Practice Address - Country:US
Practice Address - Phone:732-842-7614
Practice Address - Fax:732-842-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty