Organization
ADVANCED THERAPEUTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ROTH (PRESIDENT)
(301) 725-6690
Entity
Organization
Contact information
Practice address
24565 FORTERRA DR, WARREN, MI 48089-4372
(800) 929-1867
(586) 949-2140
Mailing address
24565 FORTERRA DR, WARREN, MI 48089-4372
(800) 929-1867
(586) 949-2140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3109702
—
MI
Enumeration date
06/10/2006
Last updated
03/02/2017
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