NPI 1043424849

Bosom Buddies, LLC

Organisation Prosthetic/Orthotic Supplier Paoli, PA

Practice location

Address: 36 Chestnut Rd, Paoli, PA 19301-1565
Phone: (610) 296-7626
Fax: (610) 296-7620

Authorised official

Name: Regina Mastrangelo
Title: Owner
Phone: (610) 296-7626

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence Z6860 (PA)

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Registry record

NPI: 1043424849
Entity type: Organization
NPI issued: 10 May 2007
Record last updated: 1 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.