Organization
PRO2 LLC
Active
Other names
OJ Medtech, Inc. & PRO2LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TALLAS (CEO)
(781) 829-9813
Entity
Organization
Contact information
Practice address
3586 CALIFORNIA RD, ORCHARD PARK, NY 14127-1746
(716) 667-9600
(716) 972-0219
Mailing address
3586 CALIFORNIA RD, ORCHARD PARK, NY 14127-1746
(716) 667-9600
(716) 972-0219
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02317788
—
NY
Enumeration date
11/16/2006
Last updated
07/10/2024
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