Healthcare Provider Details
I. General information
NPI: 1447997499
Provider Name (Legal Business Name): PRECISE TELEHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2022
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4482 MAIN ST
RIVERSIDE CA
92501-4144
US
IV. Provider business mailing address
22 W PADONIA RD STE C241
TIMONIUM MD
21093-2237
US
V. Phone/Fax
- Phone: 203-524-9871
- Fax:
- Phone: 737-402-7045
- Fax: 737-402-7045
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEORGE
TREMBLAY
Title or Position: CHIEF TECHNICAL OFFICER
Credential:
Phone: 737-402-7045