Healthcare Provider Details

I. General information

NPI: 1124012539
Provider Name (Legal Business Name): ACHIEVING BETTER CONTROL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E HECTOR ST SUITE 223
CONSHOHOCKEN PA
19428-2374
US

IV. Provider business mailing address

1100 E HECTOR ST SUITE 223
CONSHOHOCKEN PA
19428-2374
US

V. Phone/Fax

Practice location:
  • Phone: 215-283-2833
  • Fax: 215-283-1919
Mailing address:
  • Phone: 215-283-2833
  • Fax: 215-283-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL B FREEDMAN
Title or Position: PRESIDENT
Credential:
Phone: 203-981-8950