| NPI | 1174918577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MARK ROMANSKY Owner 610-565-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA SC003145L) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: PA SC003145L) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2017-08-16 |