Provider Demographics
NPI:1366544181
Name:VULPE, ANDREI
Entity type:Individual
Prefix:
First Name:ANDREI
Middle Name:
Last Name:VULPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 W MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-6514
Mailing Address - Country:US
Mailing Address - Phone:480-834-3390
Mailing Address - Fax:480-834-0635
Practice Address - Street 1:444 W MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6514
Practice Address - Country:US
Practice Address - Phone:480-834-3390
Practice Address - Fax:480-834-0635
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20130013332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies