| NPI | 1104161884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS HEINZ WIEDERHOLZ Owner 215-504-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA MD440879) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2013-10-02 |