Organization Name: | HEALTHSTEP |
NPI Number: | 1417980889 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUKE BRYANT (PRESIDENT) |
Mailing Address: | 14 Winterberry Ln Gibbsboro |
State: | NJ US |
Postal Code: | 080261509 |
Phone Number: | 8004346070 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XC2903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Vascular Specialist |
Taxonomy Definition: |