Organization
PHOTOMEDEX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE PUPACH (CORPORATE COUNSEL)
(215) 619-3600
Entity
Organization
Contact information
Practice address
100 LAKESIDE DR, SUITE 100, HORSHAM, PA 19044-2316
(215) 619-3600
(215) 619-3209
Mailing address
100 LAKESIDE DR, SUITE 100, HORSHAM, PA 19044-2316
(215) 619-3600
(215) 619-3209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44415
CA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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