| NPI | 1548458391 |
|---|---|
| Other Name | PHILADELPHIA DIABETIC SHOES |
| Entity Type | Organization |
| Authorized Contact | ANDREI LEMIASHEUSKI President 215-677-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |