Provider Demographics
NPI:1770901191
Name:ACELLERON MEDICAL PRODUCTS LLC
Entity type:Organization
Organization Name:ACELLERON MEDICAL PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:THIEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-443-8100
Mailing Address - Street 1:45 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3919
Mailing Address - Country:US
Mailing Address - Phone:732-443-8100
Mailing Address - Fax:732-443-8101
Practice Address - Street 1:21 HIGH ST STE 303
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2607
Practice Address - Country:US
Practice Address - Phone:978-738-9800
Practice Address - Fax:978-738-9801
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREFERRED HOME HEALTH CARE & NURSING SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-02
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies