| NPI | 1831369669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL BOSCIA Owner 610-258-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OEG000704) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2013-02-27 |