| NPI | 1679691711 |
|---|---|
| Doing Business As | UNIVERSALE PEDORTHIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | ULYSEES GAMMAGE Owner 215-776-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA 6000005706) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-08-04 |