Healthcare Provider Details

I. General information

NPI: 1477913044
Provider Name (Legal Business Name): ULTRAFLEX SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 02/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CONSTITUTION DRIVE 1ST FLOOR
BEDFORD NH
03110
US

IV. Provider business mailing address

150 CONSTITUTION DRIVE 1ST FLOOR
BEDFORD NH
03110
US

V. Phone/Fax

Practice location:
  • Phone: 609-459-1618
  • Fax: 610-901-1416
Mailing address:
  • Phone: 609-459-1618
  • Fax: 610-901-1416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK DEHARDE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 610-901-1410