Healthcare Provider Details

I. General information

NPI: 1679931935
Provider Name (Legal Business Name): ULTRAFLEX SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 01/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 ROUTE 66 SUITE 150
NEPTUNE NJ
07753
US

IV. Provider business mailing address

237 SOUTH ST SUITE 200
POTTSTOWN PA
19464-5984
US

V. Phone/Fax

Practice location:
  • Phone: 610-901-1410
  • Fax: 610-901-1416
Mailing address:
  • Phone: 610-901-1410
  • Fax: 610-901-1416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. WILLIAM HARDING
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 610-819-6019