Provider Demographics
NPI:1700956059
Name:INTERPRO SYSTEMS INC
Entity Type:Organization
Organization Name:INTERPRO SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RABE
Authorized Official - Suffix:
Authorized Official - Credentials:LO,LPCO
Authorized Official - Phone:888-889-9924
Mailing Address - Street 1:29 OVERLOOK RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1512
Mailing Address - Country:US
Mailing Address - Phone:888-889-9924
Mailing Address - Fax:973-301-0899
Practice Address - Street 1:29 OVERLOOK RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1512
Practice Address - Country:US
Practice Address - Phone:888-889-9924
Practice Address - Fax:973-301-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45OR00000100335E00000X
NJ45PR00000200335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
4766530001Medicare NSC