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Organization

PECTUS SERVICES OF ARIZONA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH PORCELLO (PRESIDENT/OWNER)
(877) 732-8876
Entity
Organization

Contact information

Practice address
3420 E SHEA BLVD, SUITE 213, PHOENIX, AZ 85028-3345
(877) 732-8876
Mailing address
5 BODNAR ST, BERNARDSVILLE, NJ 07924-1822

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/11/2014
Last updated
06/11/2014
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