=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154674000
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TECHTOUCH GLOBAL, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/16/2012
-----------------------------------------------------
Last Update Date | 10/16/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 159B PELHAM LN
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08831-3632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-798-8190
-----------------------------------------------------
Fax | 888-294-9371
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 159B PELHAM LN
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08831-3632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-798-8190
-----------------------------------------------------
Fax | 888-294-9371
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | MR. LESLIE S VILLANUEVA
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 973-798-8190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246W00000X
-----------------------------------------------------
Taxonomy Name | Cardiology Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------