Organization · NPI-2

Tps IV Of PA., LLC

Durable Medical Equipment & Medical Supplies · Willow Grove, PA

NPI number1063731370
StatusActive
Last updated in NPPESJul 28, 2016

Details

NPI
1063731370
Entity type
Organization (NPI-2)
Legal business name
Tps IV Of PA., LLC
Organization subpart
No
Enumeration date
May 26, 2010
Last updated
Jul 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
207X00000X Orthopaedic Surgery––

Other names

  • University Orthopaedic Institute (Doing Business As)

Practice location

2500 Maryland Rd
Pennwood Building, Suite 131
Willow Grove, PA 19090-1216

Phone 215-830-9255 · Fax 215-830-3306

Mailing address

Po Box 827965
Philadelphia, PA 19182-7965

Phone 215-830-9255 · Fax 215-830-3306

Authorized official

Wesley O. James
Regional Cfo, Tenet
4042655009

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