Organization
BIOTECH INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHRISTOPHER GHIZZONE CP LPO (VP/REGIONAL DIRECTOR)
(973) 299-7071
Entity
Organization
Contact information
Practice address
420 BOULEVARD, SUITE 207, MOUNTAIN LAKES, NJ 07046-1742
(973) 299-7071
(973) 299-7073
Mailing address
420 BOULEVARD, SUITE 207, MOUNTAIN LAKES, NJ 07046-1742
(973) 299-7071
(973) 299-7073
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047112
—
NJ
Enumeration date
06/25/2008
Last updated
07/21/2022
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