Healthcare Provider Details
I. General information
NPI: 1275279523
Provider Name (Legal Business Name): PRESSURE ULCER PREVENTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 WHITE HORSE RD E
VOORHEES NJ
08043-2503
US
IV. Provider business mailing address
117 WHITE HORSE RD E
VOORHEES NJ
08043-2503
US
V. Phone/Fax
- Phone: 856-435-4000
- Fax:
- Phone: 856-435-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANK
TURSI
Title or Position: OWNER
Credential: D.P.M
Phone: 856-435-4000