Provider Demographics
NPI:1518011030
Name:HEALTHCARE THERAPEUTICS INC
Entity type:Organization
Organization Name:HEALTHCARE THERAPEUTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-322-9771
Mailing Address - Street 1:975 JAYMOR RD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3854
Mailing Address - Country:US
Mailing Address - Phone:215-322-9771
Mailing Address - Fax:215-322-9691
Practice Address - Street 1:975 JAYMOR RD
Practice Address - Street 2:SUITE #6
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3854
Practice Address - Country:US
Practice Address - Phone:215-322-9771
Practice Address - Fax:215-322-9691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332BN1400X332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0411940001Medicare ID - Type Unspecified