Provider Demographics
NPI:1699553842
Name:3D STEP MEDICAL
Entity type:Organization
Organization Name:3D STEP MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDORTHIST
Authorized Official - Prefix:
Authorized Official - First Name:TONNY
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:HUISACAYNA ALVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:908-884-8888
Mailing Address - Street 1:908 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203
Mailing Address - Country:US
Mailing Address - Phone:908-884-8888
Mailing Address - Fax:
Practice Address - Street 1:1901 E LINDEN AVE
Practice Address - Street 2:UNIT 22
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036
Practice Address - Country:US
Practice Address - Phone:908-862-3121
Practice Address - Fax:908-862-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier