Provider Demographics
NPI:1720138787
Name:ELECTRO-BIOLOGY LLC
Entity Type:Organization
Organization Name:ELECTRO-BIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHTOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-299-9300
Mailing Address - Street 1:1 ELECTRO BIOLOGY BLVD
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:973-299-9300
Mailing Address - Fax:973-257-7841
Practice Address - Street 1:1 ELECTRO BIOLOGY BLVD
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-720-6855
Practice Address - Fax:973-257-7841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies