| NPI | 1467708297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON SEBASTIAN ROEDER Principal 215-538-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA DS025683L) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |