Healthcare Provider Details

I. General information

NPI: 1588621957
Provider Name (Legal Business Name): PULSE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 PATTERSON AVE
SHREWSBURY NJ
07702-4168
US

IV. Provider business mailing address

174 PATTERSON AVE
SHREWSBURY NJ
07702-4168
US

V. Phone/Fax

Practice location:
  • Phone: 732-842-7614
  • Fax: 732-842-4416
Mailing address:
  • Phone: 732-842-7614
  • Fax: 732-842-4416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES SILLS
Title or Position: PRESIDENT
Credential: MD
Phone: 732-842-7614