Organization
PECTUS SERVICES OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PORCELLO (OWNER)
(877) 732-8876
Entity
Organization
Contact information
Practice address
877 E VINE ST, SALT LAKE CITY, UT 84107-6515
(877) 732-8876
(973) 488-7185
Mailing address
96 BELMOHR ST, BELLEVILLE, NJ 07109-2202
(877) 732-8876
(973) 488-7185
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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