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Organization

ELECTROMEDICAL TECHNOLOGIES, INC

Active
Parent organization
INTELSOURCE GROUP, INC
Other names
Electromedical Technologies, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTELSOURCE GROUP, INC
Authorized official
MR. MATTHEW WOLFSON (CEO)
(602) 790-8034
Entity
Organization

Contact information

Practice address
16561 N. 92ND STREET, SUITE D101, SCOTTSDALE, AZ 85260
(480) 292-8976
(480) 452-1518
Mailing address
16561 N. 92ND STREET, SUITE D101, SCOTTSDALE, AZ 85260
(480) 292-8976
(480) 452-1518

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/11/2007
Last updated
04/16/2019
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